Provider Demographics
NPI:1528050333
Name:BROWNE, PEARL HYACINTH (MD)
Entity type:Individual
Prefix:
First Name:PEARL
Middle Name:HYACINTH
Last Name:BROWNE
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 1:3303 S LINDSAY RD
Mailing Address - Street 2:SUITE 125
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85296-6503
Mailing Address - Country:US
Mailing Address - Phone:480-726-0808
Mailing Address - Fax:480-659-9644
Practice Address - Street 1:3303 S LINDSAY RD
Practice Address - Street 2:SUITE 125
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85296-6503
Practice Address - Country:US
Practice Address - Phone:480-726-0808
Practice Address - Fax:480-659-9644
Is Sole Proprietor?:No
Enumeration Date:2005-08-17
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ30637207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ30637OtherSTATE LISCENCE
AZ712374Medicaid
AZBB7630280OtherDEA
AZBB7630280OtherDEA
Z72198Medicare ID - Type Unspecified