Healthcare Provider Details

I. General information

NPI: 1538163050
Provider Name (Legal Business Name): BRIAN SCOTT STRAUSS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2005
Last Update Date: 01/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

404 WESTWOOD AVE STE 107
HIGH POINT NC
27262-4316
US

IV. Provider business mailing address

404 WESTWOOD AVE STE 107
HIGH POINT NC
27262-4316
US

V. Phone/Fax

Practice location:
  • Phone: 336-887-3195
  • Fax: 336-887-3194
Mailing address:
  • Phone: 336-887-3195
  • Fax: 336-887-3194

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number39155
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: