| Brmg-pc | |
|
640 Parkwood Medical Park Elkin NC 28621-2487 | |
| (336) 526-7997 | |
| (336) 526-3537 |
| Full Name | Brmg-pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 640 Parkwood Medical Park, Elkin, North Carolina |
| Authorized Official Name and Position | Tomas Vybiral (OWNER) |
| Authorized Official Contact | 3365267997 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brmg-pc 340 Parkwood Medical Park Elkin NC 28621-2444 Ph: (336) 526-0132 | Brmg-pc 640 Parkwood Medical Park Elkin NC 28621-2487 Ph: (336) 526-7997 |
| NPI Number | 1477985430 |
|---|---|
| Provider Enumeration Date | 08/01/2013 |
| Last Update Date | 08/01/2013 |
| Medicare PECOS PAC ID | 6002041191 |
|---|---|
| Medicare Enrollment ID | O20131025000957 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477985430 | NPI | - | NPPES |
| Provider Name | Tomas Vybiral |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740285824 PECOS PAC ID: 9335037332 Enrollment ID: I20091203000693 |
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