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NPI Code Detail

MEDICARE: MALCOLM D BROWN MD

MEDICARE: MALCOLM D BROWN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice Physician00006825AL
2207R00000XInternal Medicine PhysicianMD.6825AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2051051317OTHERALBLUE CROSS

General Provider Information

NPI Number : 1811953839
Entity Type Code : Individual
Provider Name (Legal Business Name) : MALCOLM D BROWN MD
Provider Business Mailing Address
First Line : 4212 CARMICHAEL CT N
Second Line :
City : MONTGOMERY
State : AL
Zip : 36106-3621
Country : US
Telephone Number : 334-213-8804
Fax Number : 334-213-8815
Provider Business Practice Location Address
First Line : 4212 CARMICHAEL CT N
Second Line :
City : MONTGOMERY
State : AL
Zip : 36106-3621
Country : US
Telephone Number : 334-213-8804
Fax Number : 334-213-8815
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2006
Last Update Date : 01/23/2024

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Directions to “ MALCOLM D BROWN MD” Practice Location

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