Provider Demographics
NPI:1962599647
Name:BROWER, STEVEN T (MD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:T
Last Name:BROWER
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:PO BOX 95000-2424
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19195-2424
Mailing Address - Country:US
Mailing Address - Phone:212-420-4335
Mailing Address - Fax:212-844-7696
Practice Address - Street 1:FIRST AVENUE AT 16TH STREET-DEPT OF SURGERY
Practice Address - Street 2:BAIRD HALL, 16TH FLOOR, SUITE 20
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003
Practice Address - Country:US
Practice Address - Phone:212-420-4335
Practice Address - Fax:212-844-7696
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2012-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA052521208600000X, 2086X0206X
SC27571208600000X, 2086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCP00432681OtherRR MEDICARE ID UNDER OLD TIN 58-1611969
GAP00679477OtherRR MEDICARE
GA02BBGKLOtherMEDICARE ID UNDER OLD TIN 58-1611969
GA115378530BMedicaid
SCP00679513OtherRR MEDICARE
GAP00057010OtherRR MEDICARE ID UNDER OLD TIN 58-1611969
01365958OtherAMERIGROUP
GA115378530CMedicaid
SCG52521Medicaid
GA115378530AOtherMEDICAID ID UNDER OLD TIN 58-1611969
SCP00432681OtherRR MEDICARE ID UNDER OLD TIN 58-1611969
SCG52521Medicaid
SCB800709141Medicare PIN
GAP00679477OtherRR MEDICARE