Provider Demographics
NPI:1720201122
Name:BROWNYARD, ROBERT MICHAEL (DPH)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:MICHAEL
Last Name:BROWNYARD
Suffix:
Gender:M
Credentials:DPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:557 E MAIN ST
Mailing Address - Street 2:PO BOX 307
Mailing Address - City:PARSONS
Mailing Address - State:TN
Mailing Address - Zip Code:38363-2752
Mailing Address - Country:US
Mailing Address - Phone:731-847-4013
Mailing Address - Fax:731-847-4016
Practice Address - Street 1:557 E MAIN ST
Practice Address - Street 2:
Practice Address - City:PARSONS
Practice Address - State:TN
Practice Address - Zip Code:38363-2752
Practice Address - Country:US
Practice Address - Phone:731-847-4013
Practice Address - Fax:731-847-4016
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN39431835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric