Provider Demographics
NPI:1154814945
Name:BROWN, MARY MORGAN (MD)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:MORGAN
Last Name:BROWN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MARY
Other - Middle Name:MORGAN
Other - Last Name:WEED
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:806 SAINT VINCENTS DR STE 500
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35205-1617
Mailing Address - Country:US
Mailing Address - Phone:205-930-1800
Mailing Address - Fax:205-930-1818
Practice Address - Street 1:806 SAINT VINCENTS DR STE 500
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35205-1616
Practice Address - Country:US
Practice Address - Phone:205-930-1800
Practice Address - Fax:205-930-1818
Is Sole Proprietor?:No
Enumeration Date:2018-06-07
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL48321207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ154889Medicaid