MEDICARE: JANE BRAMHAM M.D.

Medicare Provider Information

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RH0003X	Hematology & Oncology Physician	20958	KY
2	207RX0202X	Medical Oncology Physician	2007-00914	NC
3	207R00000X	Internal Medicine Physician	2007-00914	NC

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

NPI Number	:	1821092784
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANE BRAMHAM M.D.

Provider Business Mailing Address
First Line	:	PO BOX 602148
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28260-2148
Country	:	US
Telephone Number	:	828-286-9036
Fax Number	:	828-286-1079

Provider Business Practice Location Address
First Line	:	181 DANIEL RD
Second Line	:
City	:	FOREST CITY
State	:	NC
Zip	:	28043-7151
Country	:	US
Telephone Number	:	828-286-9036
Fax Number	:	828-286-1079

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

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	04/05/2013

181 DANIEL RD , STE A
FOREST CITY, NC
28043-7151

Practice Phone: 828-287-9504
Practice Fax:

181 DANIEL RD
FOREST CITY, NC
28043-7151