Provider Demographics
NPI:1508865247
Name:BRUMFIELD, CHRISTOPHER SCOTT (MD)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:SCOTT
Last Name:BRUMFIELD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 60447
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-0447
Mailing Address - Country:US
Mailing Address - Phone:336-992-2672
Mailing Address - Fax:336-992-2674
Practice Address - Street 1:280 BROAD ST STE B
Practice Address - Street 2:SUITE B
Practice Address - City:KERNERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:27284-2948
Practice Address - Country:US
Practice Address - Phone:336-992-2672
Practice Address - Fax:336-992-2674
Is Sole Proprietor?:No
Enumeration Date:2005-07-15
Last Update Date:2020-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200000734207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89126XUMedicaid
NCP00327494OtherRAILROAD MEDICARE
NC2280610AMedicare PIN
NCP00327494OtherRAILROAD MEDICARE
NCG93178Medicare UPIN