IndividualActive
Randal Brown, M.D.
NPI 1376636159 · Family Medicine Physician · Santa Rosa, NM
Provider details
- NPI number
- 1376636159
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 93-226 (NM)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
117 Camino De Vida
Suite 300
Santa Rosa, NM 88435-2267
Phone: (505) 472-4311
Fax: (505) 472-4313
Approximate (ZIP-level) locationGet directions
Mailing address
117 Camino De Vida
Santa Rosa, NM 88435-2267
Registry dates
- Enumerated
- 2006-10-02
- Last updated
- 2017-04-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.