Provider Demographics
NPI:1528029253
Name:BROWN, GERALD D (MD)
Entity Type:Individual
Prefix:DR
First Name:GERALD
Middle Name:D
Last Name:BROWN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:6169 S BALSAM WAY
Mailing Address - Street 2:STE 190
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-3062
Mailing Address - Country:US
Mailing Address - Phone:303-933-8240
Mailing Address - Fax:303-933-8205
Practice Address - Street 1:6169 S BALSAM WAY
Practice Address - Street 2:SUITE 190
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-3062
Practice Address - Country:US
Practice Address - Phone:303-933-8240
Practice Address - Fax:303-933-8205
Is Sole Proprietor?:No
Enumeration Date:2006-03-31
Last Update Date:2016-05-16
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Provider Licenses
StateLicense IDTaxonomies
CO19954207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO110134788OtherRAILROAD MEDICARE
CO01199546Medicaid
CO01199546Medicaid
COCU0818Medicare PIN