Mackenzie, Brian James

Mackenzie, Brian James is an individual health care provider with primary practice located at 1511 Westover Ter Suite 201, Greensboro NC 27408-7128. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Mackenzie, Brian James can be contacted via phone (336) 373-0611.

Contact Information

Primary practice address
1511 Westover Ter Suite 201 Greensboro NC 27408-7128
Phone: (336) 373-0611
Fax: (336) 533-0866
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 200401651 North Carolina
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 200401651 North Carolina

Profile Details

NPI number 1841234259
LBN Legal business name Mackenzie, Brian James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Oct 26th, 2009 - about 15 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 1841234259 NPPES
North Carolina Other 139EY BLUE CROSS BLUE SHIELD
North Carolina Other 193227 BLUE CROSS BLUE SHIELD
North Carolina MEDICAID 5900835 BLUE CROSS BLUE SHIELD
North Carolina Other P00223735 BLUE CROSS BLUE SHIELD

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