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NPI Code Detail

MEDICARE: NATHAN JACOB BRAJER MD

MEDICARE: NATHAN JACOB BRAJER MD
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
12085R0204XVascular & Interventional Radiology Physician2024-01432NC

General Provider Information

NPI Number : 1023646577
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATHAN JACOB BRAJER MD
Provider Business Mailing Address
First Line : 3400 WAKE FOREST RD
Second Line :
City : RALEIGH
State : NC
Zip : 27609-7317
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3400 WAKE FOREST RD
Second Line :
City : RALEIGH
State : NC
Zip : 27609-7317
Country : US
Telephone Number : 919-954-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2020
Last Update Date : 06/24/2026

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