Individual provider Active NPI

Alexander Brown, MD

  • Neurology Physician
  • Atlanta, GA
National Provider Identifier
1275100406
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
104500 Issued in GA
Practice address
12 Executive Park Dr NE Department of Neurology
Atlanta, GA 30322-5303
Phone
(404) 727-3818
NPI assigned
Jun 7, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X BP10076982 TX
Neurology Physician 2084N0400X 104500 GA Primary

Addresses

Primary practice location

12 Executive Park Dr NE Department of Neurology
Atlanta, GA 30322-5303

Mailing address

609 Virginia Ave NE Apt 2111
Atlanta, GA 30306-3778
Phone (281) 667-2019

Other practice location 1

301 University Blvd
Rt. 0539
Galveston, TX 77555-5303
Phone (409) 772-8031

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
104500GAMDNeurology Physician

NPI Registry JSON

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1275100406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 VIRGINIA AVE NE APT 2111",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303063778",
            "telephone_number": "281-667-2019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 EXECUTIVE PARK DR NE DEPARTMENT OF NEUROLOGY",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303225303",
            "telephone_number": "404-727-3818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 University Blvd",
            "address_2": "Rt. 0539",
            "address_purpose": "LOCATION",
            "city": "Galveston",
            "state": "TX",
            "postal_code": "775555303",
            "country_code": "US",
            "telephone_number": "409-772-8031",
            "fax_number": "409-772-6940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ALEXANDER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-07",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "BP10076982",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "104500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.