DR. TIMOTHY BONITTO BROWN M.D. NPI 1255392346

NPI Information

NPI: 1255392346
Provider Name: DR. TIMOTHY BONITTO BROWN, M.D.
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual
PECOS Registration: Yes
Address: 83 UPPER RIVERDALE ROAD
SUITE 135
RIVERDALE, GA
ZIP 30274
Phone: (770) 991-0778

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NPI Details

DR. Timothy Bonitto Brown, M.D. is an obstetrics gynecology in Riverdale, GA with 39 years of experience. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. DR. Timothy Bonitto Brown, M.D. NPI is 1255392346. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1987

The provider's business location address is:

83 UPPER RIVERDALE ROAD
SUITE 135
RIVERDALE, GA
ZIP 30274
Phone: (770) 991-0778
Fax: (770) 991-7390

The NPI 1255392346 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/29/2006 and was last updated on 11/14/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207V00000X	Obstetrics & Gynecology		032110	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	88W283	MEDICARE ID-TYPE UNSPECIFIED	GEORGIA	MEDICARE I.D
2	000416116L	MEDICAID	GEORGIA
3	912295	OTHER	GEORGIA	BLUE CROSS BLUE SHIELD GA
4	E83158	OTHER	GEORGIA	COVENTRY HEALTH INSURANCE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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