Borchelt, Bret David

Borchelt, Bret David is an individual health care provider with primary practice located at 4622 Country Club Rd Ste 180, Winston-Salem NC 27104-3770. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Borchelt, Bret David can be contacted via phone (336) 768-9535.

Contact Information

Primary practice address
4622 Country Club Rd Ste 180 Winston-Salem NC 27104-3770
Fax: (336) 768-4155
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 200000364 North Carolina

Profile Details

NPI number 1871579870
LBN Legal business name Borchelt, Bret David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2005
Last updated Oct 28th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871579870 NPPES
North Carolina MEDICAID 89127N1

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