Provider Demographics
NPI:1659355162
Name:BROWNING, DOUGLAS GUY (MD)
Entity Type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:GUY
Last Name:BROWNING
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 1:161 HUNTERS RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27103-5262
Mailing Address - Country:US
Mailing Address - Phone:336-277-2435
Mailing Address - Fax:
Practice Address - Street 1:207 E MEADOW RD
Practice Address - Street 2:
Practice Address - City:EDEN
Practice Address - State:NC
Practice Address - Zip Code:27288-3468
Practice Address - Country:US
Practice Address - Phone:336-864-2795
Practice Address - Fax:336-864-2895
Is Sole Proprietor?:No
Enumeration Date:2005-11-30
Last Update Date:2020-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC33794207Q00000X, 207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
F01658Medicare UPIN
NC2164094CMedicare ID - Type Unspecified
NC2164094DMedicare PIN