Provider Demographics
NPI:1821088899
Name:BROWNING, EDWARD GLENN (DO)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:GLENN
Last Name:BROWNING
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1108 E PATTERSON ST
Mailing Address - Street 2:SUITE 5
Mailing Address - City:KIRKSVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63501-4002
Mailing Address - Country:US
Mailing Address - Phone:660-627-1229
Mailing Address - Fax:660-665-5313
Practice Address - Street 1:1108 E PATTERSON ST
Practice Address - Street 2:SUITE 5
Practice Address - City:KIRKSVILLE
Practice Address - State:MO
Practice Address - Zip Code:63501-4002
Practice Address - Country:US
Practice Address - Phone:660-627-1229
Practice Address - Fax:660-665-5313
Is Sole Proprietor?:No
Enumeration Date:2005-10-21
Last Update Date:2007-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR7214207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOD41499Medicare UPIN