Provider Demographics
NPI:1568474427
Name:BROWN, MICHELLE PATRICIA (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:PATRICIA
Last Name:BROWN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:991 CASS ST
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-4517
Mailing Address - Country:US
Mailing Address - Phone:831-655-9450
Mailing Address - Fax:831-655-1528
Practice Address - Street 1:991 CASS ST
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-4517
Practice Address - Country:US
Practice Address - Phone:831-655-9450
Practice Address - Fax:831-655-1528
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2009-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA00C50091171100000X, 208VP0000X
CAC50090208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No171100000XOther Service ProvidersAcupuncturist
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00C50091OtherSTATE LICENSE
CA00C50091OtherSTATE LICENSE
CAAQ185XMedicare PIN
CAAQ185WMedicare PIN
CAAQ185YMedicare PIN
CAAQ185ZMedicare PIN
CAF30034Medicare UPIN