Healthcare Provider Details

I. General information

NPI: 1760590624
Provider Name (Legal Business Name): ALAN N BROWN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2006
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11402 ANDERSON RD
GREENVILLE SC
29611-7557
US

IV. Provider business mailing address

300 E MCBEE AVE FL 4
GREENVILLE SC
29601-2842
US

V. Phone/Fax

Practice location:
  • Phone: 864-631-2799
  • Fax: 864-522-1215
Mailing address:
  • Phone: 864-522-8603
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number17260
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: