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NPI Code Detail

MEDICARE: BRETT L MACLEAN M.D.

MEDICARE: BRETT L MACLEAN M.D.
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
1208000000XPediatrics PhysicianMMD.23462SC
2208000000XPediatrics PhysicianU0618TX
3208000000XPediatrics Physician67907AZ
4208000000XPediatrics Physician2014-00986NC

General Provider Information

NPI Number : 1700144649
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRETT L MACLEAN M.D.
Provider Business Mailing Address
First Line : 117 IVY BROOK LN
Second Line :
City : CHAPEL HILL
State : NC
Zip : 27516-8084
Country : US
Telephone Number : 919-827-1227
Fax Number :
Provider Business Practice Location Address
First Line : 10327 US 15 501 N STE A
Second Line :
City : CHAPEL HILL
State : NC
Zip : 27517-6467
Country : US
Telephone Number : 919-525-2844
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/29/2012
Last Update Date : 01/18/2025

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