Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK BRIAN ELLIS, D.O.
ActiveDR. MARK BRIAN ELLIS, D.O. is a Family Medicine healthcare provider located in ENTERPRISE, Alabama. NPI 1083632244 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · ENTERPRISE, AL
Registration Details
- NPI Number
- 1083632244
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 17, 2006 (20.058777254199 yrs)
- Last Updated
- Apr 4, 2018
- License
-
DO463 (AL)
Practice Information
- Address
-
1018 RUCKER BLVDSTE AENTERPRISE, AL, 363303675Browse AL providers · Browse ZIP 36330
- Phone
- 3343474343
- Fax
- 3343939611
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in ENTERPRISE, AL
| Name | Credential | NPI |
|---|---|---|
| DR. SHEAN ERIC PHELPS | M.D. | 1972575777 |
| BEVERLY F JORDAN | M.D. | 1205891702 |
| DR. MONTGOMERY C PEDEN | MD | 1851349179 |
| RICK ALAN HARRELSON | MD | 1578512083 |
| DR. WALTER J LAWRENCE | MD | 1124067632 |
| MRS. LEEANN MCALILEY KETTUNEN | MD | 1528227220 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.