Active NPI
Mark Fred Dean, MD
- Family Medicine Physician
- Dothan, AL
National Provider Identifier
1669459608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 9377
- Practice address
- 1245 Westgate Pkwy
Dothan, AL 36303 - Phone
- (334) 793-9595
- Fax
- (334) 793-1578
- NPI assigned
- Dec 30, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 9377 | AL | Primary |
Addresses
Primary practice location
1245 Westgate Pkwy
Dothan, AL 36303
Mailing address
1245 Westgate Pkwy
Dothan, AL 36303
Phone (334) 793-9595
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9377 | AL | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1669459608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1245 WESTGATE PKWY",
"city": "DOTHAN",
"state": "AL",
"postal_code": "36303",
"telephone_number": "334-793-9595",
"fax_number": "334-793-1578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1245 WESTGATE PKWY",
"city": "DOTHAN",
"state": "AL",
"postal_code": "36303",
"telephone_number": "334-793-9595",
"fax_number": "334-793-1578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEAN",
"first_name": "MARK",
"middle_name": "FRED",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-30",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "9377",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dothan, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.