MEDICARE: BRANDT THOMAS WOOD D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	200401155	NC
2	207V00000X	Obstetrics & Gynecology Physician	200401155	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275573453
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRANDT THOMAS WOOD D.O.

Provider Business Mailing Address
First Line	:	2029 VALLEYGATE DR STE 101
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28304-3772
Country	:	US
Telephone Number	:	910-323-2103
Fax Number	:	910-323-2219

Provider Business Practice Location Address
First Line	:	2029 VALLEYGATE DR
Second Line	:	SUITE 101
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28304-3688
Country	:	US
Telephone Number	:	910-323-2103
Fax Number	:	910-323-2219

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/07/2006
Last Update Date	:	02/06/2026

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Directions to “ BRANDT THOMAS WOOD D.O.” Practice Location

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