Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blaine Brown, MD

Individual provider Anesthesiology Physician · NPI 1689692774

Blaine Brown, MD is an Anesthesiology Physician in San Bernardino, California. Licensed in California and Utah. Registered with an NPI since 2006.

Licensed in
CA, UT
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2101 N Waterman Ave
San Bernardino, CA 92404-4836
Phone: (909) 883-8711
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 179635-1205 (UT)
Anesthesiology Physician Taxonomy 207L00000X · Licence A96642 (CA)

Record details

NPI number1689692774
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 17, 2006
Last updated in NPPESMarch 11, 2020
Certification dateMarch 11, 2020
Mailing address3824 Riverwood Dr, Provo, UT 84604-6094

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