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NPI Code Detail

MEDICARE: BRANT A INMAN M.D.

MEDICARE:   BRANT A INMAN  M.D.
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
1208800000XUrology Physician47942MN
2208800000XUrology Physician2008-01525NC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00425227OTHERMNRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1093795429
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRANT A INMAN M.D.
Provider Business Mailing Address
First Line : 4101 N ROXBORO ST
Second Line :
City : DURHAM
State : NC
Zip : 27704-2121
Country : US
Telephone Number : 919-684-8111
Fax Number :
Provider Business Practice Location Address
First Line : 1000 TRENT DR
Second Line :
City : DURHAM
State : NC
Zip : 27710-0001
Country : US
Telephone Number : 919-684-8111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2006
Last Update Date : 08/27/2008

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Directions to “ BRANT A INMAN M.D.” Practice Location

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