DR. ALEXANDER MARK EISEN DO NPI 1366490682

NPI Information

  • NPI: 1366490682
  • Provider Name: DR. ALEXANDER MARK EISEN, DO
  • Classification: Pediatrics - 208000000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 105 E WATTS ST
    ENTERPRISE, AL
    ZIP 36330
  • Phone: (334) 393-5437

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NPI Details

DR. Alexander Mark Eisen, DO is a pediatrics in Enterprise, AL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Alexander Mark Eisen, DO NPI is 1366490682. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

105 E WATTS ST
ENTERPRISE, AL
ZIP 36330-511
Phone: (334) 393-5437
Fax: (334) 393-4185

The NPI 1366490682 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/5/2006 and was last updated on 3/9/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsDO.1311ALABAMAYes
2208000000XPediatrics5800150OHIONo
3208000000XPediatrics0102201876VIRGINIANo
4208D00000XGeneral Practice0102201876VIRGINIANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10102201876MEDICAIDVIRGINIA
2146239MEDICAIDALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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