Brown, Bobby G

Brown, Bobby G is an individual health care provider with primary practice located at 124 S Memorial Dr , Prattville AL 36067-3619. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Brown, Bobby G can be contacted via phone (334) 361-4267.

Contact Information

Primary practice address
124 S Memorial Dr Prattville AL 36067-3619
Fax: (334) 361-3131
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DO767 Alabama

Profile Details

NPI number 1336117183
LBN Legal business name Brown, Bobby G
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336117183 NPPES
Other 051528885 BLUE CROSS BLUE SHIELD
MEDICAID 009998545 BLUE CROSS BLUE SHIELD

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