Brantley, David S

Brantley, David S is an individual health care provider with primary practice located at 91 Enterprise Dr , Rocky Mount NC 27804-9590. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Brantley, David S can be contacted via phone (252) 451-3100.

Contact Information

Primary practice address
91 Enterprise Dr Rocky Mount NC 27804-9590
Phone: (252) 451-3100
Fax: (252) 937-3106
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 32645 North Carolina

Profile Details

NPI number 1053305052
LBN Legal business name Brantley, David S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2005
Last updated Mar 6th, 2019 - 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 1053305052 NPPES
North Carolina Other 6262907 AENTA
North Carolina Other 8462532 AENTA
North Carolina MEDICAID 891068G AENTA
North Carolina Other 73705 AENTA
North Carolina Other 370008638 AENTA
North Carolina Other 1068G AENTA
North Carolina Other 1735023 AENTA

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