Individual provider · NPI-1

Dr. John W Brown, MD

Thoracic Surgery (Cardiothoracic Vascular Surgery) · Indianapolis, IN

NPI number1699855304

StatusActive

Last updated in NPPESDec 17, 2020

Details

NPI: 1699855304
Entity type: Individual (NPI-1)
Name: Dr. John W Brown
Credential: MD
Sex: Male
Sole proprietor: No
Enumeration date: Oct 17, 2006
Certification date: Dec 17, 2020
Last updated: Dec 17, 2020

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery)	01022973A	IN	Yes
2086S0120X	Surgery, Pediatric Surgery	01022973A	IN
208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery)	01022973	IN

Practice location

705 Riley Hospital Dr
Indianapolis, IN 46202-5109

Phone 317-944-7150 · Fax 317-274-2940

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice locations

545 Barnhill Dr Eh215
Indianapolis, IN 46202-5112

Phone 317-274-3636 · Fax 317-274-2940

550 University Blvd
Indianapolis, IN 46202-5149

Phone 317-944-7728 · Fax 317-274-2940

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.