Provider Demographics
NPI:1730175456
Name:BROWN, AARON DANIEL (MD)
Entity type:Individual
Prefix:DR
First Name:AARON
Middle Name:DANIEL
Last Name:BROWN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2240 REMOUNT RD
Mailing Address - Street 2:
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28054-4725
Mailing Address - Country:US
Mailing Address - Phone:704-671-5311
Mailing Address - Fax:704-671-5308
Practice Address - Street 1:3050 RIVERWOOD PKWY
Practice Address - Street 2:SUITE B
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28056-6001
Practice Address - Country:US
Practice Address - Phone:704-865-1749
Practice Address - Fax:704-865-7328
Is Sole Proprietor?:No
Enumeration Date:2005-09-27
Last Update Date:2007-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200300566207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89134P1Medicaid
SCN00563Medicaid
NCP00026824OtherRAILROAD MEDICARE
NC2016382Medicare PIN
NC89134P1Medicaid