Individual
DR. BROC LANE PRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
300 71 STREET, SUITE 620, MIAMI BEACH, FL 33141-3089
(305) 866-9951
(877) 284-8933
Mailing address
PO BOX 32861, CHARLOTTE, NC 28232-2861
(704) 446-6810
(877) 284-8933
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2005-01398
NC
208200000X
Plastic Surgery Physician
0090-00308
NC
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
2005-01398
NC
2086S0122X
Plastic and Reconstructive Surgery Physician
2005-01398
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140KC
NCBCBS
NC
05
—
5901841
—
NC
05
—
N98005
—
SC
Enumeration date
06/05/2006
Last updated
07/28/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us