Healthcare Provider Details

I. General information

NPI: 1922869056
Provider Name (Legal Business Name): BREAM MEDICAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2024
Last Update Date: 01/16/2024
Certification Date: 01/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

721 GROVE ST
SALISBURY NC
28144-3339
US

IV. Provider business mailing address

6618 LINVILLE RIDGE DR
OAK RIDGE NC
27310-9113
US

V. Phone/Fax

Practice location:
  • Phone: 704-216-1263
  • Fax: 336-203-3644
Mailing address:
  • Phone: 252-702-0267
  • Fax: 336-203-3644

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JOHN D BREAM
Title or Position: OWNER
Credential: MD
Phone: 252-702-0267