Alex Brown
Individual provider Active NPI Driver · Charlotte, NC
NPI 1730007279 · NPPES record last updated Jul 9, 2026
Key facts
- NPI
- 1730007279
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- License
- 000040174905 (NC)
- Practice address
- 10331 Tisbury Rd Apt 10302
Charlotte, NC 28216-2498 - Phone
- (917) 608-1957
- NPI assigned
- Jul 9, 2026
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prolific Commute LLC | Driver | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | 000040174905 | NC | Yes |
Addresses
Primary practice location
10331 Tisbury Rd Apt 10302
Charlotte, NC 28216-2498
Mailing address
10331 Tisbury Rd Apt 10302
Charlotte, NC 28216-2498
Phone (917) 608-1957
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.