1386629160 NPI number — STEVEN BROWN M.D.

Table of content: STEVEN BROWN M.D. (NPI 1386629160)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1386629160 NPI number — STEVEN BROWN M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BROWN
Provider First Name:
STEVEN
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

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:
1386629160
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/01/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
20 WASHINGTON PL
Provider Second Line Business Mailing Address:
SUITE 2
Provider Business Mailing Address City Name:
BEDFORD
Provider Business Mailing Address State Name:
NH
Provider Business Mailing Address Postal Code:
03110-6743
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
603-471-1634
Provider Business Mailing Address Fax Number:
603-471-1638

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
20 WASHINGTON PLACE
Provider Second Line Business Practice Location Address:
SUITE 2
Provider Business Practice Location Address City Name:
BEDFORD
Provider Business Practice Location Address State Name:
NH
Provider Business Practice Location Address Postal Code:
03110-6076
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
603-471-1634
Provider Business Practice Location Address Fax Number:
603-471-1638
Provider Enumeration Date:
12/14/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 174400000X , with the licence number:  8438 , registered in the state of NH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 174400000X , with the licence number: 028524 , registered in the state of CT ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 0103959Y0NH01 . This is a "ANTHEM" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".
  • Identifier: 727194 . This is a "TUFTS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 100982800 . This is a "DEPT OF LABOR" identifier . This identifiers is of the category "OTHER".
  • Identifier: 6507 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".




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