Individual
BROOKTIETE ASSERES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2013-01617
NC
208000000X
Pediatrics Physician
D97797
MD
208D00000X
General Practice Physician
2013-01617
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063732055
DOCTORS DIRECT
NC
05
—
1063732055
—
NC
01
—
13305729
PHCS-MULTIPLAN
NC
01
—
1513788
WELLPATH
NC
01
—
1806P
BCBS OF NC
NC
01
—
247602
MEDCOST, LLC
NC
01
—
3652537
UNITED HEALTHCARE
NC
01
—
4468100
COVENTRY NATIONAL - COVENTRY PPO
NC
01
—
7520999
AETNA
NC
01
—
9225005
CIGNA-GREATWEST
NC
01
—
FH1101395
FIRST CAROLINA CARE
NC
Enumeration date
06/02/2010
Last updated
07/10/2024
Update your record
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