Provider Demographics
NPI:1821436775
Name:ZORKO, BRYAN ADAM (MD)
Entity Type:Individual
Prefix:
First Name:BRYAN
Middle Name:ADAM
Last Name:ZORKO
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 1:271 LAKE RD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-4927
Mailing Address - Country:US
Mailing Address - Phone:252-378-0140
Mailing Address - Fax:
Practice Address - Street 1:271 LAKE RD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-4927
Practice Address - Country:US
Practice Address - Phone:252-378-0140
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-12
Last Update Date:2019-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2017-00041207R00000X
GUMTL-2019-016207RC0200X
GUM-2714207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine