Provider Demographics
NPI:1528379609
Name:BROWNLEE, ROBERT CALVIN IV (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:CALVIN
Last Name:BROWNLEE
Suffix:IV
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 1:5960 FAIRVIEW RD STE 500
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28210-3113
Mailing Address - Country:US
Mailing Address - Phone:704-495-6334
Mailing Address - Fax:704-817-7219
Practice Address - Street 1:6060 PIEDMONT ROW DR S FL 8
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28287-3891
Practice Address - Country:US
Practice Address - Phone:704-489-3094
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-23
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCLL32919207R00000X
NC2016-01426207R00000X
SC32919207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1386960177Medicaid
NC1396061347Medicaid
NC1477879260Medicaid
NC1386960342Medicaid
NC1528379609Medicaid
NC1558686188Medicaid
NC1427374487Medicaid
SCE08621Medicaid
SCNPB353Medicaid
NC1700102506Medicaid
NC1093031882Medicaid
NC1457677247Medicaid
NC1962728923Medicaid
SC329193Medicaid
SCE08621Medicaid
NC1386960177Medicaid