Provider Demographics
NPI:1720095508
Name:BROWNE, RICHARD EVERETTE SR (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:EVERETTE
Last Name:BROWNE
Suffix:SR
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 1:822 QUEENS RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28207-1630
Mailing Address - Country:US
Mailing Address - Phone:704-516-1264
Mailing Address - Fax:704-333-0666
Practice Address - Street 1:7825 BALLANTYNE COMMONS PKWY
Practice Address - Street 2:# 360
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-3174
Practice Address - Country:US
Practice Address - Phone:704-233-7449
Practice Address - Fax:980-322-0647
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2020-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC22751207R00000X, 207RC0000X
NC200000733207R00000X, 207RC0000X
GA061560207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89127JHMedicaid
SCN00733Medicaid
NC127JHOtherBCBS
P00208328OtherRAILROAD MEDICARE
NC1720095508Medicaid
G31419Medicare UPIN
GA511I060304Medicare PIN
SCAA45048186Medicare PIN
NC2280954CMedicare PIN
SCN00733Medicaid
SCG314198186Medicare PIN
NC89127JHMedicaid
NC2280954DMedicare PIN