Dr Randal Warren Brown, MD | |
117 Camino De Vida, Suite 300, Santa Rosa, NM 88435-2267 | |
(505) 472-4311 | |
(505) 472-4313 |
Full Name | Dr Randal Warren Brown |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 117 Camino De Vida, Santa Rosa, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376636159 | NPI | - | NPPES |
02871 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 93-226 (New Mexico) | Primary |
Entity Name | Sunrise Medical Group, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124107446 PECOS PAC ID: 6406744028 Enrollment ID: O20040305000978 |
Entity Name | Emergency Staffing Solutions Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477590974 PECOS PAC ID: 9830001650 Enrollment ID: O20070724000197 |
Entity Name | Guadalupe County |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346249968 PECOS PAC ID: 9335118918 Enrollment ID: O20110629000074 |
Entity Name | Ess Hospitalist Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881967305 PECOS PAC ID: 6103085295 Enrollment ID: O20120718000719 |
Entity Name | Sunrise Clinics |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164055927 PECOS PAC ID: 6800226374 Enrollment ID: O20200423002808 |
Mailing Address | Practice Location Address |
---|---|
Dr Randal Warren Brown, MD 117 Camino De Vida, Ste 300, Santa Rosa, NM 88435-2267 Ph: (505) 472-4311 | Dr Randal Warren Brown, MD 117 Camino De Vida, Suite 300, Santa Rosa, NM 88435-2267 Ph: (505) 472-4311 |
Miranda C Haley, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 117 Camino De Vida, Suite 300, Santa Rosa, NM 88435 Phone: 575-472-4311 |