Individual
DR. GARY BRADLEY SHERRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 N ELAM AVE, GREENSBORO, NC 27403-1118
(336) 832-1100
Mailing address
PO BOX 14878, GREENSBORO, NC 27415-4878
(336) 547-1877
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
36633
NC
207RH0003X
Hematology & Oncology Physician
Primary
36633
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10304
PARTNERS MEDICARE
NC
01
—
57371
MEDCOST
NC
01
—
5889067
AETNA
NC
01
—
75762
BCBS NC
NC
05
—
8975762
—
NC
Enumeration date
05/18/2006
Last updated
09/20/2021
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