MEDICARE: MAVIS BROWN POWELLS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)		LA
2	172A00000X	Driver

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144720384
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAVIS BROWN POWELLS

Provider Business Mailing Address
First Line	:	5127 METROPOLITAN DR
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70126-3557
Country	:	US
Telephone Number	:	504-388-9218
Fax Number	:

Provider Business Practice Location Address
First Line	:	5127 METROPOLITAN DR
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70126-3557
Country	:	US
Telephone Number	:	504-388-9218
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/14/2018
Last Update Date	:	01/16/2026

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Directions to “ MAVIS BROWN POWELLS ” Practice Location

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