Provider Demographics
NPI:1639339450
Name:BROTHERS, MATTHEW BARCLAY (MD)
Entity Type:Individual
Prefix:
First Name:MATTHEW
Middle Name:BARCLAY
Last Name:BROTHERS
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 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:704-316-1220
Mailing Address - Fax:704-316-1230
Practice Address - Street 1:1918 RANDOLPH RD STE 700
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28207-1167
Practice Address - Country:US
Practice Address - Phone:704-316-1220
Practice Address - Fax:704-316-1230
Is Sole Proprietor?:No
Enumeration Date:2008-06-16
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2014-005182080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology