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1235105982

NPI Code Detail

MEDICARE: DONALD MICHAEL BRESCIA MD

MEDICARE: DONALD MICHAEL BRESCIA 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
1	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	9900172	NC
2	207RP1001X	Pulmonary Disease Physician	9900172	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1676H	OTHER	NC	BCBSNC

General Provider Information

NPI Number	:	1235105982
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONALD MICHAEL BRESCIA MD

Provider Business Mailing Address
First Line	:	1750 KERNERSVILLE MEDICAL PKWY
Second Line	:
City	:	KERNERSVILLE
State	:	NC
Zip	:	27284-7146
Country	:	US
Telephone Number	:	336-564-4866
Fax Number	:	336-277-6815

Provider Business Practice Location Address
First Line	:	1750 KERNERSVILLE MEDICAL PKWY
Second Line	:
City	:	KERNERSVILLE
State	:	NC
Zip	:	27284-7146
Country	:	US
Telephone Number	:	336-564-4866
Fax Number	:	336-277-6815

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/23/2006
Last Update Date	:	04/09/2024

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Directions to “ DONALD MICHAEL BRESCIA MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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