1023478211 NPI number — DR. D. ALLEN BROWN, LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023478211 NPI number — DR. D. ALLEN BROWN, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DR. D. ALLEN BROWN, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1023478211
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/01/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2820 NAPOLEON AVE
Provider Second Line Business Mailing Address:
SUITE 990
Provider Business Mailing Address City Name:
NEW ORLEANS
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70115-6969
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
504-897-2661
Provider Business Mailing Address Fax Number:
504-897-2791

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2820 NAPOLEON AVE
Provider Second Line Business Practice Location Address:
SUITE 990
Provider Business Practice Location Address City Name:
NEW ORLEANS
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70115-6969
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
504-897-2661
Provider Business Practice Location Address Fax Number:
504-897-2791
Provider Enumeration Date:
03/01/2016

Additional Information

Authorized Official

Authorized Official Last Name:
ROBICHAUX
Authorized Official First Name:
KELLIE
Authorized Official Middle Name:
M
Authorized Official Title or Position:
OFFICE MANAGER
Authorized Official Telephone Number:
504-897-2661

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  MD.022158 , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1694886 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".




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