Provider Demographics
NPI:1780614214
Name:BROWN, MICHAEL EUGENE (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:EUGENE
Last Name:BROWN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1803 MOUNT ROSE AVE
Mailing Address - Street 2:SUITE B3
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-3026
Mailing Address - Country:US
Mailing Address - Phone:717-851-1405
Mailing Address - Fax:717-851-6969
Practice Address - Street 1:105 4TH ST
Practice Address - Street 2:
Practice Address - City:EAST BERLIN
Practice Address - State:PA
Practice Address - Zip Code:17316-9638
Practice Address - Country:US
Practice Address - Phone:717-846-4644
Practice Address - Fax:717-259-7262
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2010-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD026151E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA80707OtherUNISON-WMG
PA01059601OtherCAPITAL BLUE CROSS-WMG
PA233283OtherMAMSI-WMG
PA30031OtherJOHNS HOPKINS
PA49366OtherGEISINGER
PAP002798OtherGATEWAY-WMG
PA1142345OtherAMERIHEALTH MERCY-WMG
PA162704OtherHIGHMARK BLUE SHIELD
PA4555802OtherAETNA
MD542989OtherCAREFIRST MD BCBS
PA000913572Medicaid
PA1142345OtherAMERIHEALTH MERCY-WMG
PAP002798OtherGATEWAY-WMG
PA000913572Medicaid