Provider Demographics
NPI:1477342780
Name:BROWN, JERRY MACK II (MD)
Entity type:Individual
Prefix:DR
First Name:JERRY
Middle Name:MACK
Last Name:BROWN
Suffix:II
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8405 CAMBRIA CT
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34653-6757
Mailing Address - Country:US
Mailing Address - Phone:727-946-6472
Mailing Address - Fax:
Practice Address - Street 1:3838 N CAMPBELL AVENUE
Practice Address - Street 2:BUILDING 2, 2ND FLOOR, NEUROSURGERY CLINIC F
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85719
Practice Address - Country:US
Practice Address - Phone:520-694-8888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-02
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZR81599207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery