Provider Demographics
NPI:1609830165
Name:BROWN, ROBERT D (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:D
Last Name:BROWN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9101 STONY POINT DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23235
Mailing Address - Country:US
Mailing Address - Phone:804-330-9105
Mailing Address - Fax:804-287-6119
Practice Address - Street 1:9101 STONY POINT DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23235
Practice Address - Country:US
Practice Address - Phone:804-330-9105
Practice Address - Fax:804-287-6119
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101 045361208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1900468OtherUNITED HEALTHCARE
VA45720OtherSENTARA FAMILY CARE
VA59346OtherSOUTHERN HEALTH
VA790408OtherAETNA HMO
VA007501005Medicaid
VA30820OtherCARENET
VA35756OtherALLIANCE
VA080190000-00OtherQUALCHOICE
VA223282144OtherTRICARE
VACA9160OtherRAILROAD MEDICARE GROUP #
VAC04008OtherMEDICARE GROUP #
VA4115138OtherAETNA PPO
VA212759OtherCIGNA
VA340016599OtherRAILROAD MEDICARE
VA007501005Medicaid
VA340000407Medicare ID - Type UnspecifiedMEDICARE