Provider Demographics
NPI:1184636854
Name:MACGREGOR FAMILY PHYSICIANS PA
Entity Type:Organization
Organization Name:MACGREGOR FAMILY PHYSICIANS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:C
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:919-858-8360
Mailing Address - Street 1:580 NEW WAVERLY PLACE
Mailing Address - Street 2:STE 120
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518
Mailing Address - Country:US
Mailing Address - Phone:919-858-8360
Mailing Address - Fax:919-858-8408
Practice Address - Street 1:580 NEW WAVERLY PLACE
Practice Address - Street 2:STE 120
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518
Practice Address - Country:US
Practice Address - Phone:919-858-8360
Practice Address - Fax:919-858-8408
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-12
Last Update Date:2012-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0184ROtherBCBS
NC890184RMedicaid
NC890184RMedicaid