Individual
DR. BRAJENDRA P SINGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
311 S MCNEIL ST, BURGAW, NC 28425-5015
(910) 259-3377
(910) 259-3013
Mailing address
311 S MCNEIL ST, PO BOX 1299, BURGAW, NC 28425-5015
(910) 259-3377
(910) 259-3013
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
28805
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010018498
RAIL ROAD MEDICARE
NC
01
—
34D0245916
CLIA NUMBER
NC
01
—
60018905
TAT NUMBER
NC
01
—
76548
BCBS
NC
05
—
8976548
—
NC
Enumeration date
08/31/2005
Last updated
08/11/2011
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