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NPI Code Detail

MEDICARE: DR. ANDREW DOMINIC MCBRIDE M.D.

MEDICARE: DR. ANDREW DOMINIC MCBRIDE 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
12085R0202XDiagnostic Radiology Physician2020-00477NC
22085R0204XVascular & Interventional Radiology Physician0101271217VA
32085R0204XVascular & Interventional Radiology Physician2020-00477NC

General Provider Information

NPI Number : 1356537492
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANDREW DOMINIC MCBRIDE M.D.
Provider Business Mailing Address
First Line : 5520 GREENS DAIRY ROAD
Second Line :
City : RALEIGH
State : NC
Zip : 27616-4612
Country : US
Telephone Number : 919-781-1487
Fax Number :
Provider Business Practice Location Address
First Line : 3000 NEW BERN AVE
Second Line :
City : RALEIGH
State : NC
Zip : 27610-1231
Country : US
Telephone Number : 919-350-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2007
Last Update Date : 04/14/2026

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