Provider Demographics
NPI:1497774871
Name:BROWN, BARBARA LEONE (MD)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:LEONE
Last Name:BROWN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:LEONE
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:UMPHYSICIANS BROADWAY FAMILY MEDICINE
Mailing Address - Street 2:1020 WEST BROADWAY
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55411
Mailing Address - Country:US
Mailing Address - Phone:612-302-8200
Mailing Address - Fax:612-302-8275
Practice Address - Street 1:UMPHYSICIANS BROADWAY FAMILY MEDICINE
Practice Address - Street 2:1020 WEST BROADWAY
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55411
Practice Address - Country:US
Practice Address - Phone:612-302-8200
Practice Address - Fax:612-302-8275
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2020-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN28539207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN57B77LEOtherBCBS
MNHP16622OtherHEALTHPARTNERS
MN1123236OtherARAZ
MN267582000Medicaid
MN1024918OtherPREFERRED ONE
MN104725OtherUCARE
MN01-04722OtherMEDICA CHOICE & PRIMARY
MN080011866Medicare ID - Type UnspecifiedMEDICARE
MN1123236OtherARAZ