Healthcare Provider Details

I. General information

NPI: 1356841449
Provider Name (Legal Business Name): STANLEY STEVEN BROWN DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/15/2018
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1011 HONOR HEIGHTS DR
MUSKOGEE OK
74401-1318
US

IV. Provider business mailing address

211 S GREENWOOD AVE APT 322
TULSA OK
74120-1460
US

V. Phone/Fax

Practice location:
  • Phone: 918-599-3000
  • Fax:
Mailing address:
  • Phone: 405-812-2753
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number6623
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: