Provider Demographics
NPI:1841392628
Name:BROWN, PATRICIA C (MD)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:C
Last Name:BROWN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5236 POOKS HILL RD
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-2006
Mailing Address - Country:US
Mailing Address - Phone:301-530-7476
Mailing Address - Fax:301-933-0960
Practice Address - Street 1:3925 FERRARA DR
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20906-4709
Practice Address - Country:US
Practice Address - Phone:301-933-1547
Practice Address - Fax:301-933-0960
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0040050207N00000X
DCMD18516207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD13830001OtherBLUE CROSS BLUE SHIELD
MD078421400Medicaid
MD717982OtherUNITED HEALTH CARE
640504Medicare ID - Type Unspecified
MD078421400Medicaid