Provider Demographics
NPI:1871897918
Name:NANCY A BROWN, DO, PC
Entity type:Organization
Organization Name:NANCY A BROWN, DO, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:405-364-8501
Mailing Address - Street 1:2120 MCKOWN DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73072-6683
Mailing Address - Country:US
Mailing Address - Phone:405-364-8501
Mailing Address - Fax:405-364-8535
Practice Address - Street 1:2120 MCKOWN DR
Practice Address - Street 2:SUITE B
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73072-6683
Practice Address - Country:US
Practice Address - Phone:405-364-8501
Practice Address - Fax:405-364-8535
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-04
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2849207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKA44436003881Medicaid
660002388OtherRAILROAD MEDICARE
660002388OtherRAILROAD MEDICARE
OKAAA0414Medicare PIN
F34567Medicare UPIN