| Family Medical Practice | |
|
6321 Deans St Bailey NC 27807-8641 | |
| (252) 235-4181 | |
| (252) 235-2950 |
| Full Name | Family Medical Practice |
|---|---|
| Speciality | Clinic/Center |
| Location | 6321 Deans St, Bailey, North Carolina |
| Authorized Official Name and Position | Theodore George Brna (PRESIDENT) |
| Authorized Official Contact | 2522354181 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medical Practice 6321 Deans St P. O. Box 280 Bailey NC 27807-8641 Ph: (252) 235-4181 | Family Medical Practice 6321 Deans St Bailey NC 27807-8641 Ph: (252) 235-4181 |
| NPI Number | 1528037959 |
|---|---|
| Provider Enumeration Date | 03/16/2006 |
| Last Update Date | 05/08/2008 |
| Medicare PECOS PAC ID | 9436197068 |
|---|---|
| Medicare Enrollment ID | O20050422000785 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528037959 | NPI | - | NPPES |
| 89159H | Medicaid | NC | |
| 0159H | Other | NC | BLUE CROSS |
| 5610052 | Other | NC | VIRIGINIA MEDICAID |
| CM4727 | Other | NC | RAILROAD MEDICARE GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 38590 (North Carolina) | Primary |
| Provider Name | Theodore G Brna |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477547016 PECOS PAC ID: 8325086952 Enrollment ID: I20050426000611 |
Dlp Wilson Physician Practices Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6321 Deans St, Bailey, NC 27807 Phone: 252-235-4181 |