Provider Demographics
NPI:1710965462
Name:BROWDER, TIMOTHY D (MD)
Entity Type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:D
Last Name:BROWDER
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 1:300 PASTEUR DR
Mailing Address - Street 2:
Mailing Address - City:STANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:94305-2200
Mailing Address - Country:US
Mailing Address - Phone:650-723-4000
Mailing Address - Fax:
Practice Address - Street 1:300 PASTEUR DR
Practice Address - Street 2:
Practice Address - City:STANFORD
Practice Address - State:CA
Practice Address - Zip Code:94305-2200
Practice Address - Country:US
Practice Address - Phone:650-723-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-04
Last Update Date:2019-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA96189208600000X, 2086S0102X
NV11045208600000X, 2086S0127X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care
No208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV880330858OtherCHOICE CARE/HUMANA
NV880330858OtherSIERRA HEALTH SERVICES
NV880330858OtherAFFILIATED HEALTH FUNDS
NV880330858OtherHORIZON/MCC
NV880330858OtherANTHEM BC/BS
NV880330858OtherCIGNA
NV880330858OtherPACIFICARE
NV880330858OtherUNIVERSAL HEALTH NETWORK
NVXPY206416OtherMEDI-CAL
NV5590203OtherFIRST HEALTH/CCN
NV880330858OtherPHCS
NV916702OtherAHCCCS
NV9217630OtherMULTIPLAN
NV100505405Medicaid
NV880330858OtherBEECH STREET
NV880330858OtherUNITED HEALTHCARE
NV964190OtherUSA/MCO HEALTH NETWORK
NV100505405Medicaid
NVWQBHV100231Medicare ID - Type Unspecified