Provider Demographics
NPI:1780807628
Name:BROWN, BARBARA GAIL (MD)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:GAIL
Last Name:BROWN
Suffix:
Gender:F
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:P.O. BOX 189
Mailing Address - Street 2:103 SOUTH MAIN STREET
Mailing Address - City:NORTH ENGLISH
Mailing Address - State:IA
Mailing Address - Zip Code:52316
Mailing Address - Country:US
Mailing Address - Phone:319-664-3333
Mailing Address - Fax:844-448-5484
Practice Address - Street 1:103 SOUTH MAIN STREET
Practice Address - Street 2:NORTH ENGLISH
Practice Address - City:NORTH ENGLISH
Practice Address - State:IA
Practice Address - Zip Code:52316
Practice Address - Country:US
Practice Address - Phone:319-664-3333
Practice Address - Fax:844-448-5484
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2016-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAMD369072084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA02355OtherBCBS
IA0162369Medicaid
IA02355OtherBCBS
IA0162369Medicaid