Healthcare Provider Details

I. General information

NPI: 1588245997
Provider Name (Legal Business Name): WESLEY C BROWN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2021
Last Update Date: 04/18/2024
Certification Date: 04/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7063 VETERANS PKWY
PELL CITY AL
35125-5114
US

IV. Provider business mailing address

2865 MONTEVALLO PARK RD
IRONDALE AL
35210-1657
US

V. Phone/Fax

Practice location:
  • Phone: 205-814-2105
  • Fax:
Mailing address:
  • Phone: 678-327-9786
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMD.45005
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: