Provider Demographics
NPI:1225591860
Name:BREGLIO, KIMBERLY FRANCES (MD, DPHIL)
Entity Type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:FRANCES
Last Name:BREGLIO
Suffix:
Gender:F
Credentials:MD, DPHIL
Other - Prefix:MS
Other - First Name:KIMBERLY
Other - Middle Name:FRANCES
Other - Last Name:FALDETTA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:24 WOODLAND ST
Mailing Address - Street 2:
Mailing Address - City:SHERBORN
Mailing Address - State:MA
Mailing Address - Zip Code:01770-1408
Mailing Address - Country:US
Mailing Address - Phone:508-494-6245
Mailing Address - Fax:
Practice Address - Street 1:101 MANNING DR
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-4220
Practice Address - Country:US
Practice Address - Phone:984-974-1000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-10
Last Update Date:2019-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC250479390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program