Individual
DR. BRIAN JAMES BUDZYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
218 GATEWOOD AVE, HIGH POINT, NC 27262-4877
(336) 878-6511
Mailing address
100 KIMEL FOREST DR, WINSTON SALEM, NC 27103-6074
(336) 716-0238
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
2016-00018
NC
208800000X
Urology Physician
4301098541
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
562140200
FEDERAL TAX ID
NC
Enumeration date
06/14/2011
Last updated
10/04/2022
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