MEDICARE: DR. MEGAN BRANNUM

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	225100000X	Physical Therapist		NC

General Provider Information

NPI Number	:	1578411393
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MEGAN BRANNUM

Provider Business Mailing Address
First Line	:	1214 FAZIO DR
Second Line	:
City	:	PINEHURST
State	:	NC
Zip	:	28374-1802
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	161 DAWKINS ST STE 121
Second Line	:
City	:	ABERDEEN
State	:	NC
Zip	:	28315-8913
Country	:	US
Telephone Number	:	910-859-1454
Fax Number	:

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

Provider Enumeration Date	:	03/18/2026
Last Update Date	:	03/18/2026

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