Provider Demographics
NPI:1386656916
Name:MITCHELL, BRIAN PATRICK (MD)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:PATRICK
Last Name:MITCHELL
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:4048 E US HIGHWAY 64 ALT
Mailing Address - Street 2:PHYSICIANS OFFICE BUILDING SUITE 1
Mailing Address - City:MURPHY
Mailing Address - State:NC
Mailing Address - Zip Code:28906-6968
Mailing Address - Country:US
Mailing Address - Phone:828-837-8131
Mailing Address - Fax:828-837-7687
Practice Address - Street 1:4188 E US HIGHWAY 64
Practice Address - Street 2:PHYSICIANS BUILDING SUITE 1
Practice Address - City:MURPHY
Practice Address - State:NC
Practice Address - Zip Code:28906-6856
Practice Address - Country:US
Practice Address - Phone:828-837-8131
Practice Address - Fax:828-837-7687
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2011-12-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC21208207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00186997AMedicaid
NC8959545Medicaid
NC208923AMedicare ID - Type Unspecified
NC8959545Medicaid