Provider Demographics
NPI:1184769432
Name:BROWN, NORMAN ADAM (MD)
Entity type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:ADAM
Last Name:BROWN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1011 CHESTNUT ST
Mailing Address - Street 2:APT 1006W
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-1421
Mailing Address - Country:US
Mailing Address - Phone:215-620-9116
Mailing Address - Fax:
Practice Address - Street 1:1011 CHESTNUT ST
Practice Address - Street 2:APT 1006W
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-1421
Practice Address - Country:US
Practice Address - Phone:215-620-9116
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2008-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD429786207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD412915600Medicaid
MDP00349926OtherRAILROAD
MD451601000Medicaid
MD412915600Medicaid
MDP00349926OtherRAILROAD