Provider Demographics
NPI:1780611681
Name:BROWNING, RONALD A (MD)
Entity type:Individual
Prefix:
First Name:RONALD
Middle Name:A
Last Name:BROWNING
Suffix:
Gender:M
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:PO BOX 5037
Mailing Address - Street 2:
Mailing Address - City:JOPLIN
Mailing Address - State:MO
Mailing Address - Zip Code:64803-5037
Mailing Address - Country:US
Mailing Address - Phone:417-781-9200
Mailing Address - Fax:417-781-9471
Practice Address - Street 1:3202 MCINTOSH CIRCLE
Practice Address - Street 2:STE 101
Practice Address - City:JOPLIN
Practice Address - State:MO
Practice Address - Zip Code:64804
Practice Address - Country:US
Practice Address - Phone:417-781-9200
Practice Address - Fax:417-781-9471
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-27
Last Update Date:2010-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO34965207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
110106826OtherRR MEDICARE
MO9230OtherANTHEM
KS100153800BMedicaid
MO200113306Medicaid
OK100183870AMedicaid
MOP00810745OtherRR MEDICARE
A12041Medicare UPIN
MOMA2114001Medicare PIN