Provider Demographics
NPI:1518066026
Name:BROWN, VAL J JR (MD, PA)
Entity Type:Individual
Prefix:DR
First Name:VAL
Middle Name:J
Last Name:BROWN
Suffix:JR
Gender:M
Credentials:MD, PA
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1035 N EMPORIA ST STE 280
Mailing Address - Street 2:P.O. BOX 48554
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67214-2939
Mailing Address - Country:US
Mailing Address - Phone:316-858-2000
Mailing Address - Fax:316-858-2003
Practice Address - Street 1:1035 N EMPORIA ST STE 280
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67214-2939
Practice Address - Country:US
Practice Address - Phone:316-858-2000
Practice Address - Fax:316-858-2003
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2012-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-19518207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSP00615202OtherRAILROAD MEDICARE
KSP00615202OtherRAILROAD MEDICARE
KSKA1092011Medicare PIN