Provider Demographics
NPI:1124006648
Name:BROWER, SCOT A (MD)
Entity type:Individual
Prefix:
First Name:SCOT
Middle Name:A
Last Name:BROWER
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 1:1101 MADISON ST
Mailing Address - Street 2:SUITE 600
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-1306
Mailing Address - Country:US
Mailing Address - Phone:206-215-2020
Mailing Address - Fax:206-215-2022
Practice Address - Street 1:1101 MADISON ST
Practice Address - Street 2:SUITE 600
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-1306
Practice Address - Country:US
Practice Address - Phone:206-215-2004
Practice Address - Fax:206-215-2055
Is Sole Proprietor?:No
Enumeration Date:2006-01-04
Last Update Date:2008-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00017382207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0036103OtherLABOR & INDUSTRIES
180019972OtherRAILROAD MEDICARE
BR3830OtherREGENCE HEALTHCARE
WA8261208Medicaid
WA0036103OtherLABOR & INDUSTRIES
WA8261208Medicaid