Individual
THOMAS ALAN BRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 S SHARON AMITY RD STE 300, CHARLOTTE, NC 28211-0035
(704) 377-2424
Mailing address
1900 RANDOLPH RD, STE 900, CHARLOTTE, NC 28207-1106
(704) 377-2424
(704) 377-2687
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
98-00472
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1144V
BCBSNC
NC
05
—
89-1144V
—
NC
01
—
930067200
RR MEDICARE
NC
05
—
N00473
—
SC
Enumeration date
05/10/2006
Last updated
03/20/2024
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