Provider Demographics
NPI:1639140643
Name:FELDMAN, BRETT LAWRENCE (MD)
Entity Type:Individual
Prefix:DR
First Name:BRETT
Middle Name:LAWRENCE
Last Name:FELDMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1845
Mailing Address - Street 2:
Mailing Address - City:STATESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28687-1845
Mailing Address - Country:US
Mailing Address - Phone:704-873-3250
Mailing Address - Fax:704-873-2940
Practice Address - Street 1:633 BROOKDALE DR
Practice Address - Street 2:SUITE 300
Practice Address - City:STATESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28677-3451
Practice Address - Country:US
Practice Address - Phone:704-873-3250
Practice Address - Fax:704-873-2940
Is Sole Proprietor?:No
Enumeration Date:2006-01-28
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2016-00093207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL28210OtherBLUE CROSS BLUE SHIELD
FLG30051Medicare UPIN
NCNCS197AMedicare PIN
FL28210Medicare PIN
FL200024834Medicare PIN