Organization
BRMG-PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOMAS VYBIRAL MD (OWNER)
(336) 526-7997
Entity
Organization
Contact information
Practice address
640 PARKWOOD MEDICAL PARK, ELKIN, NC 28621-2487
(336) 526-7997
(336) 526-3537
Mailing address
340 PARKWOOD MEDICAL PARK, ELKIN, NC 28621-2444
(336) 526-0132
(336) 526-0136
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
C201316100444
NC
207R00000X
Internal Medicine Physician
C201316100444
NC
207RC0000X
Cardiovascular Disease Physician
Primary
C201316100444
NC
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
C201316100444
NC
207RS0012X
Sleep Medicine (Internal Medicine) Physician
C201316100444
NC
Other
Enumeration date
08/01/2013
Last updated
08/01/2013
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