Mark Anthony Brown

Primary specialty

DriverTaxonomy code 172A00000X

License

B650541893850 Issued in FL

Practice address

6810 SW 8TH St
North Lauderdale, FL 33068-2513

Phone

(954) 245-8031

NPI assigned

Aug 3, 2021

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Carol Henry-Brown Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1093489023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6810 SW 8TH ST",
            "city": "NORTH LAUDERDALE",
            "state": "FL",
            "postal_code": "330682513",
            "telephone_number": "954-245-8031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6810 SW 8TH ST",
            "city": "NORTH LAUDERDALE",
            "state": "FL",
            "postal_code": "330682513",
            "telephone_number": "954-245-8031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MARK",
        "middle_name": "ANTHONY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "FL",
            "license": "B650541893850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "HENRY-BROWN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Boaz Companion Services LLC
• Yolaine Simone Bouchard
• Boys & Girls Clubs of Broward County Health Services
• Lani Denise Braun, M.D.
• Tyriah Marlene Brooks, PHARMD
• Busy B Mobile LLC
• Kathleen Louise Butler-Lee, LMT
• Kristen Suzanne Byles
• Juan S Calderon
• Mikaela V Camacho Davila

• Driver in North Lauderdale, FL
• Providers in North Lauderdale, FL by specialty
• Driver in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.