KEVIN BROWN M.D. NPI 1528413325

NPI Information

NPI: 1528413325
Provider Name: KEVIN BROWN, M.D.
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Organization: NORTHEAST OHIO GROUP PRACTICE

PECOS Registration: Yes

Address:
30575 BAINBRIDGE RD STE 200
SOLON, OH
ZIP 44139
Phone: (440) 310-7118
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Kevin Brown, M.D. is a student in an organized health care education training program in Solon, OH with 9 years of experience. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Kevin Brown, M.D. NPI is 1528413325. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

30575 BAINBRIDGE RD STE 200
SOLON, OH
ZIP 44139-275
Phone: (440) 310-7118

The NPI 1528413325 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 4/29/2016 and was last updated on 6/20/2020.

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	208600000X	Surgery		APP-000363781	OHIO	No
2	390200000X	Student in an Organized Health Care Education/Training Program				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	1528413325	MEDICAID	OHIO

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: 11/14/2023

NPI Synchronization or Removal

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