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NPI 1669934311 · live from the CMS NPI Registry

Cory Brown, MD

Radiology, Diagnostic Radiology in Providence, RI. National Provider Identifier 1669934311, active.

NPI record

NPI1669934311 Type 1 · individual
StatusActive
Primary specialtyRadiology, Diagnostic Radiology 2085R0202X
Practice location593 Eddy St, Providence, RI 02903
Practice phone401-444-5174
Mailing address125 Metro Center Blvd Ste 2000, Warwick, RI 02886
EnumeratedApril 2, 2019
Last updatedApril 3, 2025
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Radiology, Diagnostic Radiology2085R0202X25MA12209900 (NJ)
Radiology, Diagnostic Radiology2085R0202XMT218341 (PA)
Radiology, Diagnostic Radiology2085R0202X1022592 (MA)
Radiology, Diagnostic Radiology primary2085R0202XMD18853 (RI)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.