MEDICARE: BRETT STANDARD CLEVELAND 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	207L00000X	Anesthesiology Physician	9501511	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	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518901420
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRETT STANDARD CLEVELAND MD

Provider Business Mailing Address
First Line	:	PO BOX 12845
Second Line	:
City	:	GASTONIA
State	:	NC
Zip	:	28052
Country	:	US
Telephone Number	:	704-834-2825
Fax Number	:	704-866-7853

Provider Business Practice Location Address
First Line	:	2525 COURT DRIVE
Second Line	:
City	:	GASTONIA
State	:	NC
Zip	:	28054
Country	:	US
Telephone Number	:	704-834-2000
Fax Number	:

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

Provider Enumeration Date	:	06/15/2006
Last Update Date	:	02/09/2026

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Directions to “ BRETT STANDARD CLEVELAND MD” Practice Location

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