Provider Demographics
NPI:1831119239
Name:BROWNE, CAROLINE M (MD)
Entity Type:Individual
Prefix:DR
First Name:CAROLINE
Middle Name:M
Last Name:BROWNE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CAROLINE
Other - Middle Name:M
Other - Last Name:WILCKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2512 Q ST
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:IN
Mailing Address - Zip Code:47421-4928
Mailing Address - Country:US
Mailing Address - Phone:812-675-4470
Mailing Address - Fax:812-675-4469
Practice Address - Street 1:2512 Q ST
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:IN
Practice Address - Zip Code:47421-4928
Practice Address - Country:US
Practice Address - Phone:812-675-4470
Practice Address - Fax:812-675-4469
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY37048207Q00000X
IN01055491A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN186160DMedicare ID - Type Unspecified
H77242Medicare UPIN
KYP01057824 (RR)Medicare PIN
INDG3568Medicare PIN