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NPI Code Detail

MEDICARE: DELANEY LEE BRUMMER PA

MEDICARE: DELANEY LEE BRUMMER PA
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
1363A00000XPhysician AssistantPA20441TX
2363A00000XPhysician Assistant0010-11965NC
3363A00000XPhysician Assistant7076TN
4363A00000XPhysician Assistant2848AL

General Provider Information

NPI Number : 1013508258
Entity Type Code : Individual
Provider Name (Legal Business Name) : DELANEY LEE BRUMMER PA
Provider Business Mailing Address
First Line : PO BOX 19305
Second Line :
City : CHARLOTTE
State : NC
Zip : 28219-9305
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 525 N TRYON ST STE 1600
Second Line :
City : CHARLOTTE
State : NC
Zip : 28202-0213
Country : US
Telephone Number : 866-849-0692
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2021
Last Update Date : 06/01/2026

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Directions to “ DELANEY LEE BRUMMER PA” Practice Location

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