Provider Demographics
NPI:1275018145
Name:ROBERT J. BROWNSBERGER MD, PC
Entity type:Organization
Organization Name:ROBERT J. BROWNSBERGER MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:BROWNSBERGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-774-3919
Mailing Address - Street 1:3769 CROSSINGS DR STE D
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT
Mailing Address - State:AZ
Mailing Address - Zip Code:86305-7121
Mailing Address - Country:US
Mailing Address - Phone:928-774-3191
Mailing Address - Fax:
Practice Address - Street 1:203 S CANDY LN STE 2A
Practice Address - Street 2:
Practice Address - City:COTTONWOOD
Practice Address - State:AZ
Practice Address - Zip Code:86326-4172
Practice Address - Country:US
Practice Address - Phone:928-532-7599
Practice Address - Fax:928-532-5899
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ROBERT J. BROWNSBERGER, MD PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-09-26
Last Update Date:2018-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Single Specialty