Provider Demographics
NPI:1841220084
Name:JAMIESON, BRIAN DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:DAVID
Last Name:JAMIESON
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 8001
Mailing Address - Street 2:2700 WAYNE MEMORIAL DRIVE
Mailing Address - City:GOLDSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27533-8001
Mailing Address - Country:US
Mailing Address - Phone:919-731-6065
Mailing Address - Fax:919-731-6175
Practice Address - Street 1:2700 WAYNE MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:GOLDSBORO
Practice Address - State:NC
Practice Address - Zip Code:27534-9494
Practice Address - Country:US
Practice Address - Phone:919-731-6065
Practice Address - Fax:919-731-6175
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2008-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA83299207L00000X
NC207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1428ROtherBCBS
NC5904278Medicaid
NC2053288Medicare PIN
NCP00328178Medicare PIN
NC1428ROtherBCBS