Provider Demographics
NPI:1982685640
Name:BROWN, CHRISTOPHER STIRLING (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:STIRLING
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 1:6701 AIRPORT BLVD
Mailing Address - Street 2:SUITE A107
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36608-6705
Mailing Address - Country:US
Mailing Address - Phone:251-433-4700
Mailing Address - Fax:251-435-8549
Practice Address - Street 1:6701 AIRPORT BLVD
Practice Address - Street 2:SUITE A107
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608-6774
Practice Address - Country:US
Practice Address - Phone:251-435-8572
Practice Address - Fax:251-435-8615
Is Sole Proprietor?:No
Enumeration Date:2005-11-09
Last Update Date:2019-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS15916174400000X
AL17327174400000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000029329Medicaid
MS00119745Medicaid
ALG364OtherGROUP MEDICARE NUMBER
AL1982685640OtherNPI
AL1063477644OtherGROUP NPI
MS00119745Medicaid
AL29329Medicare PIN
MS060000237Medicare PIN
AL1063477644OtherGROUP NPI