Individual
JAMES JOSEPH O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
34117
NC
207LP2900X
Pain Medicine (Anesthesiology) Physician
34117
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
194389000
—
WV
01
—
4517
PARTNERS
NC
01
—
5009055
AETNA
—
05
—
5736196
—
VA
01
—
63668
BCBS
NC
01
—
63972
MEDCOST
NC
05
—
8963668
—
NC
05
—
Q34117
—
SC
Enumeration date
12/13/2005
Last updated
07/21/2022
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