Provider Demographics
NPI:1114999729
Name:BROWN, MARK SCOTT (MD)
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:SCOTT
Last Name:BROWN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:6576 AIRPORT BLVD STE B200
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36608-3788
Mailing Address - Country:US
Mailing Address - Phone:251-650-5437
Mailing Address - Fax:800-689-2131
Practice Address - Street 1:6576 AIRPORT BLVD STE B200
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608-3788
Practice Address - Country:US
Practice Address - Phone:251-650-5437
Practice Address - Fax:800-689-2131
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME68947207W00000X
NY198405-1207W00000X
MS17168207W00000X
AL21881207W00000X, 207WX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0200XAllopathic & Osteopathic PhysiciansOphthalmologyOphthalmic Plastic and Reconstructive Surgery
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000099585Medicaid
AL226083Medicaid
AL000099585Medicaid
AL99585Medicare PIN