MEDICARE: SUSAN JEAN BRANDT 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
1	207L00000X	Anesthesiology Physician	ME87372	FL
2	207LP2900X	Pain Medicine (Anesthesiology) Physician	ME87372	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	71376W	OTHER	FL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	71376	OTHER	FL	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1326091646
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSAN JEAN BRANDT M.D.

Provider Business Mailing Address
First Line	:	5026 PETERS CREEK PKWY
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27127-7276
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5026 PETERS CREEK PKWY
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27127-7276
Country	:	US
Telephone Number	:	352-442-3112
Fax Number	:

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

Provider Enumeration Date	:	05/18/2006
Last Update Date	:	12/28/2007

Similar Medicare Providers

1295711398 — KATRINA COLE ROMBLAD PA-C
Practice Location Address:

5010 PETERS CREEK PKWY
WINSTON SALEM, NC
27127-7276

Practice Phone: 336-788-4664
Practice Fax: 336-788-0573

1295701498 — GARY LON MORGAN JR. MD
Practice Location Address:

5010 PETERS CREEK PKWY
WINSTON SALEM, NC
27127-7276

Practice Phone: 336-788-4664
Practice Fax: 336-788-0753

1376640201 — MARLEY DRUG INC
Practice Location Address:

5008 PETERS CREEK PKWY
WINSTON SALEM, NC
27127-7276

Practice Phone: 336-771-7672
Practice Fax: 336-771-9921

1891882635 — SUE ELLEN SINGH PA
Practice Location Address:

5010 PETERS CREEK PKWY , DBA FRIEDBERG FAMILY MEDICINE
WINSTON SALEM, NC
27127-7276

Practice Phone: 336-788-4664
Practice Fax: 336-788-0753

1659429009 — MRS. KIMBERLY BALL WRIGHT PA-C
Practice Location Address:

5010 PETERS CREEK PKWY
WINSTON SALEM, NC
27127-7276

Practice Phone: 336-788-4664
Practice Fax: 336-788-0753

1912051939 — FORSYTH MEMORIAL HOSPITAL, INC
Practice Location Address:

5010 PETERS CREEK PKWY , DBA FRIEDBURG FAMILY MEDICINE
WINSTON SALEM, NC
27127-7276

Practice Phone: 336-788-4664
Practice Fax: 336-788-0753

Directions to “ SUSAN JEAN BRANDT M.D.” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.