Provider Demographics
NPI:1487857546
Name:BROWN, BARRY MATTHEW (CNMT)
Entity Type:Individual
Prefix:MR
First Name:BARRY
Middle Name:MATTHEW
Last Name:BROWN
Suffix:
Gender:M
Credentials:CNMT
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Mailing Address - Street 1:525 TOWN AND COUNTRY BLVD
Mailing Address - Street 2:
Mailing Address - City:SEBRING
Mailing Address - State:FL
Mailing Address - Zip Code:33875-5495
Mailing Address - Country:US
Mailing Address - Phone:863-382-9616
Mailing Address - Fax:
Practice Address - Street 1:4200 SUN' N LAKES
Practice Address - Street 2:
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33870
Practice Address - Country:US
Practice Address - Phone:540-981-7274
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-07
Last Update Date:2007-07-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471N0900XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistNuclear Medicine Technology