| Bream Medical Salisbury | |
|
721 Grove St Salisbury NC 28144-3339 | |
| (252) 702-0267 | |
| Not Available |
| Full Name | Bream Medical Salisbury |
|---|---|
| Speciality | Family Medicine |
| Location | 721 Grove St, Salisbury, North Carolina |
| Authorized Official Name and Position | Pamela H Tucker (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 3362108409 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bream Medical Salisbury 721 Grove St Salisbury NC 28144-3339 Ph: (704) 216-1263 | Bream Medical Salisbury 721 Grove St Salisbury NC 28144-3339 Ph: (252) 702-0267 |
| NPI Number | 1275291361 |
|---|---|
| Provider Enumeration Date | 12/06/2021 |
| Last Update Date | 10/18/2023 |
| Certification Date | 10/18/2023 |
| Medicare PECOS PAC ID | 1951784933 |
|---|---|
| Medicare Enrollment ID | O20220824001984 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275291361 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Kathryn Lesiewicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831182724 PECOS PAC ID: 1254319973 Enrollment ID: I20081202000595 |
| Provider Name | John D Bream |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811124266 PECOS PAC ID: 4385814177 Enrollment ID: I20110906000270 |
| Provider Name | Julane Chappell Upton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629328190 PECOS PAC ID: 9638322068 Enrollment ID: I20130114000370 |
| Provider Name | Alfonso Huesca Rodriguez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033590187 PECOS PAC ID: 7113231960 Enrollment ID: I20150806011652 |
| Provider Name | Zackry Scott Briggs |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598121311 PECOS PAC ID: 7911204912 Enrollment ID: I20160317002173 |
| Provider Name | Heather Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952786683 PECOS PAC ID: 1951605369 Enrollment ID: I20160603001280 |
| Provider Name | Robert James Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336725050 PECOS PAC ID: 3870993637 Enrollment ID: I20210616000014 |
| Provider Name | Amber Dickerson Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780262311 PECOS PAC ID: 1456746627 Enrollment ID: I20220325000376 |
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