Healthcare Provider Details

I. General information

NPI: 1851213425
Provider Name (Legal Business Name): PROLIFIC COMMUTE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10331 TISBURY RD APT 10302
CHARLOTTE NC
28216-2498
US

IV. Provider business mailing address

301 S MCDOWELL ST STE 125
CHARLOTTE NC
28204-0031
US

V. Phone/Fax

Practice location:
  • Phone: 917-608-1957
  • Fax:
Mailing address:
  • Phone: 917-608-1957
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number State

VIII. Authorized Official

Name: MR. ALEXANDER LEE OTIS BROWN
Title or Position: OWNER
Credential:
Phone: 917-608-1957