Individual
DR. JONATHON BODGER BRINGOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
WAKE FOREST UNIVERSITY BAPTIST MEDICAL CTR, WINSTON SALEM, NC 27157-0001
(336) 716-5222
Mailing address
782 CAROLINA WAY, SANFORD, NC 27332-9670
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2015-00749
NC
Other
Enumeration date
04/12/2012
Last updated
04/20/2016
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