Healthcare Provider Details

I. General information

NPI: 1326852849
Provider Name (Legal Business Name): BRANDON J HEGELE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/04/2025
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

170 MANNING DRIVE
CHAPEL HILL NC
27599-7594
US

IV. Provider business mailing address

170 MANNING DRIVE
CHAPEL HILL NC
27599-7594
US

V. Phone/Fax

Practice location:
  • Phone: 919-966-6442
  • Fax: 919-966-3049
Mailing address:
  • Phone: 704-231-4390
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: