Individual
DAVID S BRANTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
91 ENTERPRISE DR, ROCKY MOUNT, NC 27804-9590
(252) 451-3100
(252) 937-3106
Mailing address
PO BOX 7200, ROCKY MOUNT, NC 27804-0200
(252) 937-0200
(252) 451-0056
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
32645
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1068G
BCBSNC
NC
01
—
1735023
UNITED HEALTH CARE
NC
01
—
370008638
RAILROAD MEDICARE
NC
01
—
6262907
AENTA
NC
01
—
73705
MEDCOST
NC
01
—
8462532
CIGNA HEALTHCARE
NC
05
—
891068G
—
NC
Enumeration date
09/06/2005
Last updated
03/06/2019
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