Provider Demographics
NPI:1003235102
Name:BROWN, ISAIAH (MD)
Entity type:Individual
Prefix:MR
First Name:ISAIAH
Middle Name:
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 1:9744 W. BELL RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:SUN CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:85351
Mailing Address - Country:US
Mailing Address - Phone:888-553-8346
Mailing Address - Fax:623-404-4530
Practice Address - Street 1:9744 W. BELL RD
Practice Address - Street 2:SUITE A
Practice Address - City:SUN CITY
Practice Address - State:AZ
Practice Address - Zip Code:85351
Practice Address - Country:US
Practice Address - Phone:888-553-8346
Practice Address - Fax:623-404-4530
Is Sole Proprietor?:No
Enumeration Date:2014-04-16
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
FLME1589442086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program