Provider Demographics
NPI:1821201237
Name:BROWN, HARVEY FRANKLIN III (DPM)
Entity Type:Individual
Prefix:DR
First Name:HARVEY
Middle Name:FRANKLIN
Last Name:BROWN
Suffix:III
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 GEORGIA AVE
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72207-5014
Mailing Address - Country:US
Mailing Address - Phone:501-664-3668
Mailing Address - Fax:
Practice Address - Street 1:2001 GEORGIA AVE
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72207-5014
Practice Address - Country:US
Practice Address - Phone:501-664-3668
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR70213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
ART75493Medicare UPIN
AR5-6150Medicare ID - Type Unspecified