Provider Demographics
NPI:1821114661
Name:BROWNLEE, ROBERT W II (MD)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:W
Last Name:BROWNLEE
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:MR
Other - First Name:ROB
Other - Middle Name:
Other - Last Name:BROWNLEE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1906 LAXALT WAY
Mailing Address - Street 2:
Mailing Address - City:ELKO
Mailing Address - State:NV
Mailing Address - Zip Code:89801-2695
Mailing Address - Country:US
Mailing Address - Phone:775-753-6047
Mailing Address - Fax:775-777-1862
Practice Address - Street 1:1780 BROWNING WAY
Practice Address - Street 2:SUITE A
Practice Address - City:ELKO
Practice Address - State:NV
Practice Address - Zip Code:89801-8312
Practice Address - Country:US
Practice Address - Phone:775-777-1046
Practice Address - Fax:775-777-1862
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2011-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV8302208600000X, 2086S0102X, 2086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care
No2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV002004020Medicaid
NVP00063694Medicare PIN
NVV38070Medicare PIN
NV002004020Medicaid