Broderick Hollister Brown, APCC is a
Student In An Organized Health Care Education/training Program based in Los Angeles, California. Broderick Hollister Brown is licensed to practice in * (Not Available) (license number ) and his current practice location is
1355 S Hill St, Los Angeles, California. He can be reached at his office (for appointments etc.) via phone at
(323) 644-2000.
NPI number for Broderick Hollister Brown is 1548956931 and his current mailing address is 967 E Colorado Blvd, Po Box #60004, Pasadena, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1548956931.
Healthcare Provider's Profile
Full Name | Broderick Hollister Brown |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1355 S Hill St, Los Angeles, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1548956931
- Provider Enumeration Date: 04/18/2023
- Last Update Date: 04/18/2023
Medical Identifiers
Medical identifiers for Broderick Hollister Brown such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548956931 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 10503 (California) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Broderick Hollister Brown is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Broderick Hollister Brown, APCC 967 E Colorado Blvd, Po Box #60004, Pasadena, CA 91106 Ph: (626) 390-2535 | Broderick Hollister Brown, APCC 1355 S Hill St, Los Angeles, CA 90015-3012 Ph: (323) 644-2000 |
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