Individual
DAVID S BRANTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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