Provider Demographics
NPI:1487610309
Name:BROWNING, NICHOLAS DEAN (MD)
Entity type:Individual
Prefix:
First Name:NICHOLAS
Middle Name:DEAN
Last Name:BROWNING
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 1:342 PLEASANT ST
Mailing Address - Street 2:#1
Mailing Address - City:GRASS VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95945-6662
Mailing Address - Country:US
Mailing Address - Phone:530-228-1690
Mailing Address - Fax:
Practice Address - Street 1:342 PLEASANT ST
Practice Address - Street 2:#1
Practice Address - City:GRASS VALLEY
Practice Address - State:CA
Practice Address - Zip Code:95945-6662
Practice Address - Country:US
Practice Address - Phone:530-228-1690
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-21
Last Update Date:2011-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA81247207R00000X, 207RC0200X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A812470Medicaid
CA00A812471Medicare ID - Type UnspecifiedMEDICARE NUMBER