| Bradford K Faulkenberry M D P A | |
|
1707 Berwick Dr Laurinburg NC 28352-5543 | |
| (910) 276-2439 | |
| (910) 276-2404 |
| Full Name | Bradford K Faulkenberry M D P A |
|---|---|
| Speciality | Family Medicine |
| Location | 1707 Berwick Dr, Laurinburg, North Carolina |
| Authorized Official Name and Position | Lisa T Wheeler (PRACTICE MANAGER) |
| Authorized Official Contact | 9102762439 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bradford K Faulkenberry M D P A 1707 Berwick Dr Laurinburg NC 28352-5543 Ph: (910) 276-2439 | Bradford K Faulkenberry M D P A 1707 Berwick Dr Laurinburg NC 28352-5543 Ph: (910) 276-2439 |
| NPI Number | 1053449777 |
|---|---|
| Provider Enumeration Date | 03/02/2007 |
| Last Update Date | 03/09/2015 |
| Medicare PECOS PAC ID | 6800976291 |
|---|---|
| Medicare Enrollment ID | O20080110000663 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053449777 | NPI | - | NPPES |
| 790112P | Medicaid | NC | |
| 0112P | Other | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 78796 (North Carolina) | Primary |
| Provider Name | Bradford Keith Faulkenberry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518915370 PECOS PAC ID: 3678483609 Enrollment ID: I20080110000656 |
| Provider Name | Charles E Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871995803 PECOS PAC ID: 7810219268 Enrollment ID: I20141215000344 |
| Provider Name | Talisa Clark Singletary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821539495 PECOS PAC ID: 1456624311 Enrollment ID: I20170829002488 |
| Provider Name | Brittany Stroud Branch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205486818 PECOS PAC ID: 7214361104 Enrollment ID: I20191231001655 |
Jeffrey Alan Moore, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 E Lauchwood Dr, Laurinburg, NC 28352 Phone: 910-276-7727 Fax: 910-277-7439 | |
Scotland Gastroenterology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Lauchwood Dr, Suite B, Laurinburg, NC 28352 Phone: 910-277-4410 Fax: 910-277-4223 | |
Wolonick Family Practice Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 106 Mcalpine Ln, Laurinburg, NC 28352 Phone: 910-277-8044 Fax: 910-277-0036 | |
Carolinas Center For Digestive Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1603 Medical Dr Ste C, Laurinburg, NC 28352 Phone: 910-266-0129 Fax: 910-266-8089 | |
Scotland Medical Center P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 422 King St, Laurinburg, NC 28352 Phone: 910-276-2100 Fax: 910-276-2111 | |
Faith Family Medical Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1709 Berwick Dr Ste B, Laurinburg, NC 28352 Phone: 910-276-2487 Fax: 910-276-2404 |