MEDICARE: DR. BRIAN CHARLES ADAIR 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	207W00000X	Ophthalmology Physician	200100500	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	129MN	OTHER	NC	BCBS
3	7507283	OTHER	NC	AETNA
4	10986052	OTHER		CAQH
5	1853431	OTHER	NC	WELLCARE
6	7507283	OTHER	NC	ENVOLVE
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	NC0500	OTHER	NC	EYEMED

General Provider Information

NPI Number	:	1720057995
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRIAN CHARLES ADAIR M.D.

Provider Business Mailing Address
First Line	:	PO BOX 3445
Second Line	:
City	:	HICKORY
State	:	NC
Zip	:	28603-3445
Country	:	US
Telephone Number	:	828-322-2050
Fax Number	:	828-345-0522

Provider Business Practice Location Address
First Line	:	2424 CENTURY PL SE
Second Line	:
City	:	HICKORY
State	:	NC
Zip	:	28602-4031
Country	:	US
Telephone Number	:	828-322-2050
Fax Number	:	704-732-3799

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

Provider Enumeration Date	:	03/17/2006
Last Update Date	:	12/31/2025

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