Colville Dale Brown, MD in Philadelphia, PA - Student in an Organized Health Care Education/Training Program

Colville Dale Brown, MD - Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Colville Dale Brown, MD is a Student In An Organized Health Care Education/training Program physician based in Philadelphia, Pennsylvania. Colville Dale Brown is licensed to practice in Pennsylvania (license number MT194920) and his current practice location is 3400 Spruce St, One Maloney, Philadelphia, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at (215) 662-2200.

NPI number for Colville Dale Brown is 1902030646 and his current mailing address is 3400 Spruce St, One Maloney, Philadelphia, Pennsylvania. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1902030646.

Contact Information

	Colville Dale Brown, MD
	3400 Spruce St, One Maloney, Philadelphia, PA 19104-4206
	(215) 662-2200
	Not Available

Map and Direction

Physician's Profile

Full Name	Colville Dale Brown
Gender	Male
Speciality	Student In An Organized Health Care Education/training Program
Location	3400 Spruce St, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1902030646
Provider Enumeration Date: 05/11/2009
Last Update Date: 05/11/2009

Medical Identifiers

Medical identifiers for Colville Dale Brown such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902030646	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	MT194920 (Pennsylvania)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	MT194920 (Pennsylvania)	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. Colville Dale 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
Colville Dale Brown, MD 3400 Spruce St, One Maloney, Philadelphia, PA 19104-4206 Ph: (215) 662-2200	Colville Dale Brown, MD 3400 Spruce St, One Maloney, Philadelphia, PA 19104-4206 Ph: (215) 662-2200