Brackbill, Thomas Andrew

Brackbill, Thomas Andrew is an individual health care provider with primary practice located at 1002 N Church St Suite 103, Greensboro NC 27401-1439. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Brackbill, Thomas Andrew can be contacted via phone (336) 272-6133.

Contact Information

Primary practice address
1002 N Church St Suite 103 Greensboro NC 27401-1439
Phone: (336) 272-6133
Fax: (336) 271-9043
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 19909 North Carolina

Profile Details

NPI number 1619031614
LBN Legal business name Brackbill, Thomas Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2006
Last updated Sep 3rd, 2013 - about 12 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 1619031614 NPPES
Other 561240263 COMMERCIAL
MEDICAID 8915976 COMMERCIAL
Other 435 COMMERCIAL
Other 060041999 COMMERCIAL
Other 435 COMMERCIAL
Other 15976 COMMERCIAL

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