Provider Demographics
NPI:1144292350
Name:BROWN, ROBIN GAIL (MD)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:GAIL
Last Name:BROWN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1953 1ST AVE SE
Mailing Address - Street 2:SUITE A2
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52402
Mailing Address - Country:US
Mailing Address - Phone:319-365-0059
Mailing Address - Fax:319-365-0449
Practice Address - Street 1:1953 1ST AVE SE
Practice Address - Street 2:SUITE A2
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52402
Practice Address - Country:US
Practice Address - Phone:319-365-0059
Practice Address - Fax:319-365-0449
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA27277207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0428854Medicaid
IA5600080OtherAETNA
IA03225OtherWELLMARK
IA03225OtherWELLMARK
IAI11371Medicare ID - Type Unspecified