Healthcare Provider Details

I. General information

NPI: 1003888462
Provider Name (Legal Business Name): STEVEN D BROWN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/01/2006
Last Update Date: 08/14/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7530 NW 23RD ST
BETHANY OK
73008-4921
US

IV. Provider business mailing address

7530 NW 23RD ST
BETHANY OK
73008-4942
US

V. Phone/Fax

Practice location:
  • Phone: 405-787-8550
  • Fax: 405-789-6734
Mailing address:
  • Phone: 405-787-8550
  • Fax: 405-789-6734

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number13737
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: