Provider Demographics
NPI:1376759811
Name:PIENKOS, BRIAN LEE (MD)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:LEE
Last Name:PIENKOS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:139 DOCTOR HENRY NORRIS DR
Mailing Address - Street 2:
Mailing Address - City:RUTHERFORDTON
Mailing Address - State:NC
Mailing Address - Zip Code:28139-3176
Mailing Address - Country:US
Mailing Address - Phone:828-287-9260
Mailing Address - Fax:828-287-9709
Practice Address - Street 1:139 DOCTOR HENRY NORRIS DR
Practice Address - Street 2:
Practice Address - City:RUTHERFORDTON
Practice Address - State:NC
Practice Address - Zip Code:28139-3176
Practice Address - Country:US
Practice Address - Phone:828-287-9260
Practice Address - Fax:828-287-9709
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE24083207X00000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice