Provider Demographics
NPI:1205801826
Name:BROWN, DAWN (MD)
Entity type:Individual
Prefix:
First Name:DAWN
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1500 UNIVERSITY DR E
Mailing Address - Street 2:SUITE 100
Mailing Address - City:COLLEGE STATION
Mailing Address - State:TX
Mailing Address - Zip Code:77840-2600
Mailing Address - Country:US
Mailing Address - Phone:979-846-1100
Mailing Address - Fax:979-260-9390
Practice Address - Street 1:3370 S TEXAS AVE
Practice Address - Street 2:#B
Practice Address - City:BRYAN
Practice Address - State:TX
Practice Address - Zip Code:77802-3127
Practice Address - Country:US
Practice Address - Phone:979-595-1700
Practice Address - Fax:979-595-1740
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-17
Last Update Date:2013-11-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXK2064207V00000X
ARE-5850207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
1497183883OtherST. JOSEPH HEALTH POINT BRYAN-NPI
154467801OtherFACILITY MEDICAID TPI: BCSCHC
1275726853OtherCOLLEGE STATION CHC/ABC CLINIC FACILITY NPI
1649265646OtherFACILITY NPI: BRYAN COLLEGE STATION COMMUNITY HEALTH CENTER
45-1942OtherFACILITY MC #-BCSCHC
TX037204701Medicaid
154467801OtherFACILITY MEDICAID TPI: BCSCHC
TX037204701Medicaid
1649265646OtherFACILITY NPI: BRYAN COLLEGE STATION COMMUNITY HEALTH CENTER