Provider Demographics
NPI:1578536181
Name:BROWN, DAVID H (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:H
Last Name:BROWN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:430 ALTAIR PKWY STE 200
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43082-7647
Mailing Address - Country:US
Mailing Address - Phone:146-818-0215
Mailing Address - Fax:614-818-0217
Practice Address - Street 1:430 ALTAIR PKWY STE 200
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43082-7647
Practice Address - Country:US
Practice Address - Phone:614-818-0215
Practice Address - Fax:614-818-0217
Is Sole Proprietor?:No
Enumeration Date:2006-02-13
Last Update Date:2020-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35075512208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH7674368OtherAETNA
OH000000223149OtherANTHEM
OH2334094Medicaid
OH1900946OtherUHC
OH1900946OtherUHC
OH2334094Medicaid
OHH163580Medicare PIN