Provider Demographics
NPI:1538167143
Name:BROWN, JAY ANDREW (MD)
Entity type:Individual
Prefix:
First Name:JAY
Middle Name:ANDREW
Last Name:BROWN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2880 DAUPHIN ST
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36606-2457
Mailing Address - Country:US
Mailing Address - Phone:251-473-1900
Mailing Address - Fax:251-470-8942
Practice Address - Street 1:2880 DAUPHIN ST
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36606-2457
Practice Address - Country:US
Practice Address - Phone:251-473-1900
Practice Address - Fax:251-470-8942
Is Sole Proprietor?:No
Enumeration Date:2005-07-08
Last Update Date:2007-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00022768207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALH62438OtherHEALTHSPRING PROVIDER #
AL51528101OtherBLUE CROSS PROVIDER #
AL7705526OtherAETNA PROVIDER #
AL0800022OtherUNITED HEALTHCARE PROV. #
AL0800022OtherUNITED HEALTHCARE PROV. #
ALH62438OtherHEALTHSPRING PROVIDER #