MEDICARE: DR. MARK E BRECHER 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	207ZP0105X	Clinical Pathology/Laboratory Medicine Physician	000034954	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

General Provider Information

NPI Number	:	1255381661
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARK E BRECHER MD

Provider Business Mailing Address
First Line	:	531 S SPRING ST
Second Line	:
City	:	BURLINGTON
State	:	NC
Zip	:	27215-5866
Country	:	US
Telephone Number	:	336-436-5049
Fax Number	:	336-436-1414

Provider Business Practice Location Address
First Line	:	531 S SPRING ST
Second Line	:
City	:	BURLINGTON
State	:	NC
Zip	:	27215-5866
Country	:	US
Telephone Number	:	336-436-5049
Fax Number	:	336-436-1414

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

Provider Enumeration Date	:	05/10/2006
Last Update Date	:	09/25/2009

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Directions to “ DR. MARK E BRECHER MD” Practice Location

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