Basic Information
| Provider Information | |||||||||
| NPI: | 1194735142 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BROWN | ||||||||
| FirstName: | PATTI | ||||||||
| MiddleName: | JO | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1623 MORGANTOWN ROAD | ||||||||
| Address2: | |||||||||
| City: | READING | ||||||||
| State: | PA | ||||||||
| PostalCode: | 19607 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6107966354 | ||||||||
| FaxNumber: | 6107966470 | ||||||||
| Practice Location | |||||||||
| Address1: | 1623 MORGANTOWN ROAD | ||||||||
| Address2: | |||||||||
| City: | READING | ||||||||
| State: | PA | ||||||||
| PostalCode: | 19607 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6107966354 | ||||||||
| FaxNumber: | 6107966470 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/09/2006 | ||||||||
| LastUpdateDate: | 06/30/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208100000X | MD040509E | PA | Y | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation |
ID Information
| ID | Type | State | Issuer | Description | 0542558000 | 01 | AMERIHEALTH INC | OTHER | 0951043 | 01 | AETNA | OTHER | 1523181 | 01 | GATEWAY & GATEWAY MEDICAR | OTHER | 000706725 | 01 | HIGHMARK BLUE SHIELD PREM | OTHER | 02329500 | 01 | CAPITAL BLUE CROSS CAPITA | OTHER | 232737884 | 01 | BERKSHIRE HEALTH PARTNERS | OTHER | 20007755 | 01 | AMERIHEALTH MERCY | OTHER | 232737884 | 01 | AMERIHEALTH ADMINISTRATOR | OTHER | 335169 | 01 | HEALTH AMERICA HLTH ASSUR | OTHER | 0012763630001 | 05 | PA | MEDICAID | 0706725 | 01 | KEYSTONE HLTH PLAN CENTRA | OTHER | 0542558000 | 01 | KEYSTONE HEALTH PLAN EAST | OTHER | 000000129591 | 01 | THREE RIVERS UNISON | OTHER | 0542558000 | 01 | INDEPENDENCE BLUE CROSS | OTHER | 1104520 | 01 | KEYSTONE MERCY | OTHER | 3919 | 01 | GEISINGER HEALTH PLAN | OTHER |