Provider Demographics
NPI:1194777326
Name:BROWNE, PATRICK J (MD)
Entity type:Individual
Prefix:
First Name:PATRICK
Middle Name:J
Last Name:BROWNE
Suffix:
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 1:10192 W COGGINS DR
Mailing Address - Street 2:
Mailing Address - City:SUN CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:85351-3405
Mailing Address - Country:US
Mailing Address - Phone:623-974-2434
Mailing Address - Fax:623-974-4925
Practice Address - Street 1:10192 W COGGINS DR
Practice Address - Street 2:
Practice Address - City:SUN CITY
Practice Address - State:AZ
Practice Address - Zip Code:85351-3405
Practice Address - Country:US
Practice Address - Phone:623-974-2434
Practice Address - Fax:623-974-4925
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2007-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ8502207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZWCFKQOtherMEDICARE PTAN
AZ207721Medicaid
AZ207721Medicaid
AZZ71513Medicare PIN