Individual
NICHOLAS EDWARD BRUNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 BLYTHE BLVD, CHARLOTTE, NC 28203-5866
(704) 446-3350
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2021-01383
NC
208600000X
Surgery Physician
Primary
2021-01383
NC
2086S0120X
Pediatric Surgery Physician
2021-01383
NC
Other
Enumeration date
05/02/2012
Last updated
09/25/2025
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