MEDICARE: BRANDON SOWELL 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	207Q00000X	Family Medicine Physician	2026-00320	NC

General Provider Information

NPI Number	:	1528700069
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRANDON SOWELL MD

Provider Business Mailing Address
First Line	:	301 E WENDOVER AVE STE 200
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27401-1232
Country	:	US
Telephone Number	:	336-274-3241
Fax Number	:	336-272-7134

Provider Business Practice Location Address
First Line	:	1125 N CHURCH ST
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27401-1007
Country	:	US
Telephone Number	:	336-832-8035
Fax Number	:

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

Provider Enumeration Date	:	04/13/2022
Last Update Date	:	02/12/2026

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