Individual
THOMAS ANDREW BRACKBILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1002 N CHURCH ST, SUITE 103, GREENSBORO, NC 27401-1439
(336) 272-6133
(336) 271-9043
Mailing address
1200 N ELM ST, GREENSBORO, NC 27401-1004
(336) 832-7000
(336) 851-8427
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
19909
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060041999
RR MEDICARE
—
01
—
15976
BCBS
NC
01
—
435
PARTNERS
—
01
—
561240263
COMMERCIAL
—
05
—
8915976
—
NC
Enumeration date
12/21/2006
Last updated
09/03/2013
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