Provider Demographics
NPI:1124090824
Name:BROWNE, CAROL S (DO)
Entity type:Individual
Prefix:DR
First Name:CAROL
Middle Name:S
Last Name:BROWNE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:CAROL
Other - Middle Name:
Other - Last Name:SLOAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:4301 BROADWAY # CPO121
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209-6318
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:UIW HEALTH SERVICES
Practice Address - Street 2:4301 BROADWAY
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78209
Practice Address - Country:US
Practice Address - Phone:210-829-3175
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-06
Last Update Date:2021-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO118324204D00000X, 207Q00000X
FLOS10733207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
No204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL001245800OtherMEDICAID INDIVIDUAL NUMBER
MO244627816Medicaid
2416023OtherCIGNA
DD9083OtherRR MEDICARE
FLP00778976OtherMEDICARE RR
FL2416023OtherCIGNA
121421OtherBLUE CROSS BLUE SHIELD
418043OtherHEALTHLINK
506155OtherFIRST HEALTH
FL2416023OtherCIGNA
418043OtherHEALTHLINK
FLGRP# AL403Medicare PIN
FL001245800OtherMEDICAID INDIVIDUAL NUMBER
FLCL558ZMedicare PIN