Provider Demographics
NPI:1194735142
Name:BROWN, PATTI JO (MD)
Entity type:Individual
Prefix:DR
First Name:PATTI
Middle Name:JO
Last Name:BROWN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1623 MORGANTOWN ROAD
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19607
Mailing Address - Country:US
Mailing Address - Phone:610-796-6354
Mailing Address - Fax:610-796-6470
Practice Address - Street 1:1623 MORGANTOWN ROAD
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19607
Practice Address - Country:US
Practice Address - Phone:610-796-6354
Practice Address - Fax:610-796-6470
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-09
Last Update Date:2014-06-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD040509E208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
0542558000OtherAMERIHEALTH INC
0951043OtherAETNA
1523181OtherGATEWAY & GATEWAY MEDICAR
000706725OtherHIGHMARK BLUE SHIELD PREM
02329500OtherCAPITAL BLUE CROSS CAPITA
232737884OtherBERKSHIRE HEALTH PARTNERS
20007755OtherAMERIHEALTH MERCY
232737884OtherAMERIHEALTH ADMINISTRATOR
335169OtherHEALTH AMERICA HLTH ASSUR
PA0012763630001Medicaid
0706725OtherKEYSTONE HLTH PLAN CENTRA
0542558000OtherKEYSTONE HEALTH PLAN EAST
000000129591OtherTHREE RIVERS UNISON
0542558000OtherINDEPENDENCE BLUE CROSS
1104520OtherKEYSTONE MERCY
3919OtherGEISINGER HEALTH PLAN
335169OtherHEALTH AMERICA HLTH ASSUR
1104520OtherKEYSTONE MERCY