Provider Demographics
NPI:1992022214
Name:BROWN, STEPHEN SCOTT (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:SCOTT
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 1:112 S 3RD ST
Mailing Address - Street 2:
Mailing Address - City:IRONTON
Mailing Address - State:OH
Mailing Address - Zip Code:45638-1537
Mailing Address - Country:US
Mailing Address - Phone:304-550-2091
Mailing Address - Fax:740-302-4122
Practice Address - Street 1:112 S 3RD ST
Practice Address - Street 2:
Practice Address - City:IRONTON
Practice Address - State:OH
Practice Address - Zip Code:45638-1537
Practice Address - Country:US
Practice Address - Phone:304-550-2091
Practice Address - Fax:740-302-4122
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-26
Last Update Date:2015-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
KY458762084P0800X
OH35.1210572084P0800X
WV263242084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program