Basic Information
| Provider Information | |||||||||
| NPI: | 1710965462 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BROWDER | ||||||||
| FirstName: | TIMOTHY | ||||||||
| MiddleName: | D | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 300 PASTEUR DR | ||||||||
| Address2: | |||||||||
| City: | STANFORD | ||||||||
| State: | CA | ||||||||
| PostalCode: | 943052200 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6507234000 | ||||||||
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| Practice Location | |||||||||
| Address1: | 300 PASTEUR DR | ||||||||
| Address2: | |||||||||
| City: | STANFORD | ||||||||
| State: | CA | ||||||||
| PostalCode: | 943052200 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6507234000 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/04/2006 | ||||||||
| LastUpdateDate: | 02/28/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | A96189 | CA | N | Allopathic & Osteopathic Physicians | Surgery | 208600000X | 11045 | NV | N | Allopathic & Osteopathic Physicians | Surgery | 2086S0127X | 11045 | NV | N | Allopathic & Osteopathic Physicians | Surgery | Trauma Surgery | 2086S0102X | A96189 | CA | Y | Allopathic & Osteopathic Physicians | Surgery | Surgical Critical Care |
ID Information
| ID | Type | State | Issuer | Description | 880330858 | 01 | NV | CHOICE CARE/HUMANA | OTHER | 880330858 | 01 | NV | SIERRA HEALTH SERVICES | OTHER | 880330858 | 01 | NV | AFFILIATED HEALTH FUNDS | OTHER | 880330858 | 01 | NV | HORIZON/MCC | OTHER | 880330858 | 01 | NV | ANTHEM BC/BS | OTHER | 880330858 | 01 | NV | CIGNA | OTHER | 880330858 | 01 | NV | PACIFICARE | OTHER | 880330858 | 01 | NV | UNIVERSAL HEALTH NETWORK | OTHER | XPY206416 | 01 | NV | MEDI-CAL | OTHER | 5590203 | 01 | NV | FIRST HEALTH/CCN | OTHER | 880330858 | 01 | NV | PHCS | OTHER | 916702 | 01 | NV | AHCCCS | OTHER | 9217630 | 01 | NV | MULTIPLAN | OTHER | 100505405 | 05 | NV | MEDICAID | 880330858 | 01 | NV | BEECH STREET | OTHER | 880330858 | 01 | NV | UNITED HEALTHCARE | OTHER | 964190 | 01 | NV | USA/MCO HEALTH NETWORK | OTHER |