Provider Demographics
NPI:1003888462
Name:BROWN, STEVEN D (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:D
Last Name:BROWN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7530 NW 23RD ST
Mailing Address - Street 2:
Mailing Address - City:BETHANY
Mailing Address - State:OK
Mailing Address - Zip Code:73008-4942
Mailing Address - Country:US
Mailing Address - Phone:405-787-8550
Mailing Address - Fax:405-789-6734
Practice Address - Street 1:7530 NW 23RD ST
Practice Address - Street 2:
Practice Address - City:BETHANY
Practice Address - State:OK
Practice Address - Zip Code:73008-4921
Practice Address - Country:US
Practice Address - Phone:405-787-8550
Practice Address - Fax:405-789-6734
Is Sole Proprietor?:No
Enumeration Date:2006-02-01
Last Update Date:2013-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK13737207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100100710AMedicaid
OKP00188754OtherRAILROAD MEDICARE
OKE11715Medicare UPIN
OKP00188754OtherRAILROAD MEDICARE
OK100100710AMedicaid
OK$$$$$$$$$MMedicare PIN