Healthcare Provider Details

I. General information

NPI: 1497720221
Provider Name (Legal Business Name): SHANNON H BROWNFIELD M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2006
Last Update Date: 03/03/2025
Certification Date: 03/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

715 W SHERMAN AVE SUITE G
HARRISON AR
72601-2743
US

IV. Provider business mailing address

PO BOX 707
MOUNTAIN HOME AR
72654-0707
US

V. Phone/Fax

Practice location:
  • Phone: 870-741-8247
  • Fax: 870-741-3933
Mailing address:
  • Phone: 870-424-7070
  • Fax: 870-424-6616

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberE3052
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: