Ronald Duane Brown, MD – Family Medicine Physician

Key facts

NPI: 1265408637
Entity type: Individual (NPI type 1)
Primary specialty: Family Medicine Physician 207Q00000X
License: 36485 (MN)
Practice address: 1630 Anderson Ave
Whitesell Medical Staffing
Buffalo, MN 55313
Phone: (763) 682-5906
Fax: (763) 684-0243
NPI assigned: Feb 27, 2006
Sex: Male
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

St. Joseph'S Medical Center Primary Care Clinic/Center · Pillager, MN · NPI 1891740957

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

State licenses

License	State	Type	Specialty
36485	MN	MD	Family Medicine Physician
MN23425	MN	MD	Family Medicine Physician

Practice roles

Organization	Specialty	Status	New patients
St. Joseph'S Medical Center		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Medicine Physician	207Q00000X	36485	MN	Yes
Family Medicine Physician	207Q00000X	MN23425	MN

Addresses

Primary practice location

1630 Anderson Ave
Whitesell Medical Staffing
Buffalo, MN 55313

Mailing address

10448 Gulden Ave NW
Maple Lake, MN 55358
Phone (320) 963-3054

Other providers in Buffalo, MN

All providers in Buffalo, MN · Family Medicine Physician in Minnesota

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.