Individual
BRIAN JAMES MACKENZIE
Active
Individual
BRIAN JAMES MACKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
200401651
NC
208M00000X
Hospitalist Physician
200401651
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
139EY
BLUE CROSS BLUE SHIELD
NC
01
—
193227
MEDCOST
NC
05
—
5900835
—
NC
01
—
P00223735
RAILROAD MEDICARE
NC
Enumeration date
06/15/2006
Last updated
10/26/2009
Update your record
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