Individual
DR. DAVID REESE O'BRIEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
(336) 716-3202
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
(336) 716-3202
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
00669
NC
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
200001225
NC
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
27854
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0908591
UHC PROVIDER #
NC
01
—
127R9
BCBS PROVIDER #
NC
01
—
250012093
RR MEDICARE PROVIDER #
NC
01
—
38684
BLUE MEDICARE PROVIDER #
NC
01
—
A1174
MEDCOST PROVIDER #
NC
Enumeration date
04/28/2006
Last updated
09/03/2021
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