Richard Davis Brown, MD

Individual provider Active NPI Family Medicine Physician · Chester, MD

NPI 1487986287 · NPPES record last updated Feb 3, 2010

Key facts

NPI
1487986287
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
D0041212 (MD)
Practice address
128 Kirwans Landing LN
Chester, MD 21619
Phone
(410) 212-3593
Fax
(410) 643-3250
NPI assigned
Feb 3, 2010
Sex
Male
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0041212MDMDFamily Medicine Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D0041212 MD Yes

Addresses

Primary practice location

128 Kirwans Landing LN
Chester, MD 21619

Mailing address

128 Kirwans Landing LN
Chester, MD 21619
Phone (410) 212-3593

Other providers in Chester, MD

All providers in Chester, MD · Family Medicine Physician in Maryland

Sources for this page

Verify at the official NPI Registry.