Provider Demographics
NPI:1992700629
Name:BROWN, CARY DOUGLAS (MD)
Entity type:Individual
Prefix:DR
First Name:CARY
Middle Name:DOUGLAS
Last Name:BROWN
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:9901 MEDICAL CENTER DR
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-3357
Mailing Address - Country:US
Mailing Address - Phone:240-826-6106
Mailing Address - Fax:240-826-5963
Practice Address - Street 1:9901 MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-3357
Practice Address - Country:US
Practice Address - Phone:270-826-6106
Practice Address - Fax:240-826-5963
Is Sole Proprietor?:No
Enumeration Date:2005-06-17
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD-18658208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD2594OtherBLUE CROSS MD/DC
MD538591100Medicaid
152133OtherPHCS
MD2088996OtherAETNA
E60719Medicare UPIN
MD538591100Medicaid