Provider Demographics
NPI:1073809851
Name:JULICH, BRIAN N (MD)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:N
Last Name:JULICH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PHYSICIANS OFFICE BUILDING 170 MANNING DR
Mailing Address - Street 2:CB# 7594
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-7594
Mailing Address - Country:US
Mailing Address - Phone:757-777-5712
Mailing Address - Fax:
Practice Address - Street 1:PHYSICIANS OFFICE BUILDING 170 MANNING DR
Practice Address - Street 2:CB# 7594
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-7594
Practice Address - Country:US
Practice Address - Phone:757-777-5712
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-21
Last Update Date:2016-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2014-02088208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice