MEDICARE: BROOKE ALISON CHIDGEY 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	207LP2900X	Pain Medicine (Anesthesiology) Physician	2011-00628	NC
2	207L00000X	Anesthesiology Physician	2011-00628	NC

General Provider Information

NPI Number	:	1346446754
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BROOKE ALISON CHIDGEY M.D.

Provider Business Mailing Address
First Line	:	N2198 UNC HOSPITALS
Second Line	:	CB# 7010
City	:	CHAPEL HILL
State	:	NC
Zip	:	27599-7010
Country	:	US
Telephone Number	:	919-966-5136
Fax Number	:	919-966-4873

Provider Business Practice Location Address
First Line	:	410 MARKET ST
Second Line	:	SUITE 362
City	:	CHAPEL HILL
State	:	NC
Zip	:	27516-4061
Country	:	US
Telephone Number	:	919-966-5136
Fax Number	:	919-966-4873

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

Provider Enumeration Date	:	06/22/2007
Last Update Date	:	04/01/2021

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