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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Mark Brian Ellis, D.O.

Family Medicine Physician in Enterprise, AL · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1083632244

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Registry record

Entity type Individual (Type 1)
Name Dr. Mark Brian Ellis
Credential D.O.
Sex Male
Practice address 1018 Rucker Blvd, Ste A, Enterprise, AL, 36330
Fax (334) 393-9611
Enumeration date Jul 17, 2006
Last updated in NPPES Apr 4, 2018

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License DO463 (AL) Primary
DO · Doctor of Osteopathic Medicine: A fully licensed physician trained in osteopathic medical schools, with the same practice rights as an MD. About the DO credential

Other identifiers

Identifier Type State Issuer
009971495 Medicaid AL -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Mark Ellis's NPI record?
Cross-check NPI 1083632244 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Is NPI 1083632244 active?
Yes, as of the latest NPPES snapshot, NPI 1083632244 is active (record last updated 2018-04-04).

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-04-04.