Provider Demographics
NPI:1750474060
Name:BROWN, STUART B (MD)
Entity type:Individual
Prefix:
First Name:STUART
Middle Name:B
Last Name:BROWN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1150 N 35TH AVE
Mailing Address - Street 2:STE 520
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-5431
Mailing Address - Country:US
Mailing Address - Phone:954-961-2423
Mailing Address - Fax:954-961-4860
Practice Address - Street 1:4440 SHERIDAN ST
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-3535
Practice Address - Country:US
Practice Address - Phone:954-961-2423
Practice Address - Fax:954-961-4860
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2016-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL00139172084N0400X, 2084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL047049000Medicaid
FL047049000OtherPEDIATRICS ASSOCIATES
FL4216549OtherAETNA
FL000858OtherAV MED
FL047049000OtherFL NETPASS
FL2227OtherNHP
FL90112OtherBC/BS
D59056Medicare UPIN
FL90112Medicare PIN