Provider Demographics
NPI:1942399134
Name:BROWN, CARA E (MD)
Entity Type:Individual
Prefix:DR
First Name:CARA
Middle Name:E
Last Name:BROWN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CARA
Other - Middle Name:E
Other - Last Name:PHILLIPS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6801 W 20TH ST
Mailing Address - Street 2:SUITE 101, ATTN: SUSAN PINCKNEY
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80634-9637
Mailing Address - Country:US
Mailing Address - Phone:970-378-8000
Mailing Address - Fax:970-378-8088
Practice Address - Street 1:473 CASTLE PINES AVE STE 1
Practice Address - Street 2:
Practice Address - City:JOHNSTOWN
Practice Address - State:CO
Practice Address - Zip Code:80534-7859
Practice Address - Country:US
Practice Address - Phone:970-587-7881
Practice Address - Fax:970-587-7738
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2020-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO46036207QA0000X
MO2004028828207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0000XAllopathic & Osteopathic PhysiciansFamily MedicineAdolescent Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO193522OtherBCMO
MO209341304Medicaid
CO54576318Medicaid
925410038Medicare PIN
COC810976Medicare PIN
P00208809Medicare PIN
MO193522OtherBCMO
MO209341304Medicaid
G41489Medicare UPIN