Provider Demographics
NPI:1497849863
Name:BROWN, JAMES EDWARD JR (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:EDWARD
Last Name:BROWN
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:13701 ENCANTADO RD NE
Mailing Address - Street 2:ABQ HEALTH PARTNERS TRAMWAY
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87123-2275
Mailing Address - Country:US
Mailing Address - Phone:505-237-8700
Mailing Address - Fax:505-237-8703
Practice Address - Street 1:13701 ENCANTADO RD NE
Practice Address - Street 2:ABQ HEALTH PARTNERS TRAMWAY
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87123-2275
Practice Address - Country:US
Practice Address - Phone:505-237-8700
Practice Address - Fax:505-237-8703
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2010-06-23
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Provider Licenses
StateLicense IDTaxonomies
NM84154207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM34413Medicaid
341331603Medicare PIN
E46811Medicare UPIN