Provider Demographics
NPI:1427095645
Name:BROWN, ELAINE K (MD)
Entity type:Individual
Prefix:DR
First Name:ELAINE
Middle Name:K
Last Name:BROWN
Suffix:
Gender:F
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:PO BOX 13
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:79073-0013
Mailing Address - Country:US
Mailing Address - Phone:406-855-4313
Mailing Address - Fax:406-237-5880
Practice Address - Street 1:2601 DIMMITT RD
Practice Address - Street 2:
Practice Address - City:PLAINVIEW
Practice Address - State:TX
Practice Address - Zip Code:79072-1833
Practice Address - Country:US
Practice Address - Phone:806-296-5531
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-31
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT8138207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT8138OtherMONTANA STATE LICENSE
COA63645OtherSTATE LICENSE NUMBER
MT0154193Medicaid
WY112173100Medicaid
TXH6078OtherSTATE LICENSE NUMBER
TXH6078OtherSTATE LICENSE NUMBER
MTE76205Medicare UPIN