Provider Demographics
NPI:1205949914
Name:BROWNLOW, ROY CHARLES (MD)
Entity type:Individual
Prefix:DR
First Name:ROY
Middle Name:CHARLES
Last Name:BROWNLOW
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3023 BUNKER HILL ST STE 203
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92109-5706
Mailing Address - Country:US
Mailing Address - Phone:858-205-1993
Mailing Address - Fax:619-202-8090
Practice Address - Street 1:3023 BUNKER HILL ST STE 203
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92109-5706
Practice Address - Country:US
Practice Address - Phone:858-205-1993
Practice Address - Fax:619-202-8090
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-16
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA042196207L00000X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000721388EMedicaid
GA1539874OtherCIGNA HEALTH CARE
GA5542185OtherAETNA US HEALTH CARE
GA24445OtherCOVENTRY HEALTH CARE
GA582317219OtherHUMANA
GA1389946OtherFIRST HEALTH
GAE67824Medicare UPIN
GA511I050067Medicare PIN
GA582317219OtherHUMANA