Provider Demographics
NPI:1346236148
Name:BROWN, DONALD E JR (MD)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:E
Last Name:BROWN
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 640
Mailing Address - Street 2:
Mailing Address - City:ROANOKE RAPIDS
Mailing Address - State:NC
Mailing Address - Zip Code:27870-0640
Mailing Address - Country:US
Mailing Address - Phone:252-536-5844
Mailing Address - Fax:252-519-0154
Practice Address - Street 1:1381 MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:ROANOKE RAPIDS
Practice Address - State:NC
Practice Address - Zip Code:27870-5130
Practice Address - Country:US
Practice Address - Phone:252-536-5800
Practice Address - Fax:252-519-0655
Is Sole Proprietor?:No
Enumeration Date:2005-09-27
Last Update Date:2024-12-02
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Provider Licenses
StateLicense IDTaxonomies
NC2010-00432207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
0017924OtherNEIGHBORHOOD HEALTH
043572001OtherANTHEM BC
043572001OtherHEALTH CARE VALUE MGT
NC2351500OtherMEDICARE
41721OtherFALLON
043572001OtherCHAMPUS TRICARE
0701473OtherUNITED HEALTH CARE
131412OtherHARVARD PILGRIM
075036OtherTUFTS HEALTH PLAN
986315OtherNETWORK HEALTH
J12018OtherBCBS
NH30005090Medicaid
MA3088502Medicaid
599881OtherHEALTH SOURCE
1504001003OtherCIGNA
41721OtherFALLON
D76436Medicare UPIN
043572001OtherCHAMPUS TRICARE
075036OtherTUFTS HEALTH PLAN