Provider Demographics
NPI:1154372407
Name:BROWN, RICHARD E JR (MD)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:E
Last Name:BROWN
Suffix:JR
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 1:4301 W 7TH ST
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-5411
Mailing Address - Country:US
Mailing Address - Phone:479-283-7524
Mailing Address - Fax:
Practice Address - Street 1:4301 W 7TH ST
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-5411
Practice Address - Country:US
Practice Address - Phone:479-283-7524
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2022-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARC6378207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ARBR869411OtherCLARITY VISION
AR12408000000OtherQUAL CHOICE OF AR
AR141623CROtherPREFERRED CARE
AR50707OtherBCBS
AR105251001Medicaid
AR5095140001OtherPALMETTO GBA
AR180041178OtherRAILROAD MEDICARE
AR326417OtherHEALTHLINK