Holbert, Brenda Lee
Holbert, Brenda Lee is an individual health care provider with primary practice located at Medical Center Blvd , Winston Salem NC 27157-0001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Holbert, Brenda Lee can be contacted via phone (336) 716-2255.Contact Information
Primary practice address
Medical Center Blvd
Winston Salem NC 27157-0001
Phone: (336) 716-2255
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 2013-02238 | North Carolina |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | G2994 | Texas |
Profile Details
| NPI number | 1851351043 |
|---|---|
| LBN Legal business name | Holbert, Brenda Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | Jun 9th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851351043 | NPPES |
| Texas | MEDICAID | 1005084-02 | |
| Texas | Other | 300117096 | |
| Texas | Other | 1005084-03 | |
| Texas | MEDICAID | 1851351043 | |
| Texas | Other | 8A3363 |
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