Provider Demographics
NPI:1437112836
Name:HEARON, BRIAN PAUL (MD)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:PAUL
Last Name:HEARON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1771 TATE BLVD SE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28602-4249
Mailing Address - Country:US
Mailing Address - Phone:828-324-4804
Mailing Address - Fax:828-324-7256
Practice Address - Street 1:1771 TATE BLVD SE
Practice Address - Street 2:SUITE 201
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28602-4249
Practice Address - Country:US
Practice Address - Phone:828-324-4804
Practice Address - Fax:828-324-7256
Is Sole Proprietor?:No
Enumeration Date:2006-04-08
Last Update Date:2022-09-14
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Provider Licenses
StateLicense IDTaxonomies
NC000025312207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC40881OtherBCBS OF NC PROVIDER ID#
NC8940881Medicaid
NCC84425Medicare UPIN
NC8940881Medicaid