Provider Demographics
NPI:1649278433
Name:BROWN, ALAN W (MD)
Entity type:Individual
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First Name:ALAN
Middle Name:W
Last Name:BROWN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1717 SHIPYARD BLVD
Mailing Address - Street 2:STE 140
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28403-8019
Mailing Address - Country:US
Mailing Address - Phone:910-796-8600
Mailing Address - Fax:910-796-8644
Practice Address - Street 1:1717 SHIPYARD BLVD
Practice Address - Street 2:STE 140
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-8019
Practice Address - Country:US
Practice Address - Phone:910-796-8600
Practice Address - Fax:910-796-8644
Is Sole Proprietor?:No
Enumeration Date:2005-07-14
Last Update Date:2010-08-02
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Provider Licenses
StateLicense IDTaxonomies
NC34565207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
1085KOtherBCBS
NC8918875Medicaid
C36583Medicare UPIN
1085KOtherBCBS