Dewitt C Brown III, DR MD
Individual provider Active NPI Orthopaedic Surgery Physician · Winthrop, MA
NPI 1487721676 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1487721676
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- 73370 (MA)
- Practice address
- 52 Crest Ave
Suite 3a
Winthrop, MA 02152 - Phone
- (617) 846-5366
- Fax
- (617) 846-5460
- NPI assigned
- Nov 30, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|
| 73370 | MA | MD | Orthopaedic Surgery Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 73370 | MA | Yes |
Addresses
Primary practice location
52 Crest Ave
Suite 3a
Winthrop, MA 02152
Mailing address
52 Crest Ave
Suite 3a
Winthrop, MA 02152
Phone (617) 846-5366
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3076211 | Medicaid | MA | |
| 073370 | Other | MA | TUFTS |
| J10506 | Other | MA | BCBS OF MA |
Other providers in Winthrop, MA
- Laura Louise Bradley
- Lyndsay Jensen Brattan
- Brooks Dental, P.C.
- Howard Brooks
- Stephanie Brooks
- Brown'S Rexall Drug Store
- Maryellen Bruno
- Lynneanne Burnettsb
- Michael E Cagan
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All providers in Winthrop, MA · Orthopaedic Surgery Physician in Massachusetts
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.