Healthcare Provider Details

I. General information

NPI: 1922321835
Provider Name (Legal Business Name): SCOTT H BROWN, M.D., P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2010
Last Update Date: 03/05/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 S UNIVERSITY AVE SUITE 615
LITTLE ROCK AR
72205-5302
US

IV. Provider business mailing address

500 S UNIVERSITY AVE SUITE 615
LITTLE ROCK AR
72205-5302
US

V. Phone/Fax

Practice location:
  • Phone: 501-666-3666
  • Fax: 501-666-2535
Mailing address:
  • Phone: 501-666-3666
  • Fax: 501-666-2535

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberC6576
License Number StateAR

VIII. Authorized Official

Name: SCOTT H BROWN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 501-666-3666