Provider Demographics
NPI:1841570546
Name:BRIER CREEK URGENT CARE
Entity Type:Organization
Organization Name:BRIER CREEK URGENT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:CHRISTOPHER
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:919-598-8834
Mailing Address - Street 1:7841 ALEXANDER PROMENADE PL
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27617-1913
Mailing Address - Country:US
Mailing Address - Phone:919-598-8834
Mailing Address - Fax:919-957-7244
Practice Address - Street 1:7870 ALEXANDER PROMENADE PL
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27617-7350
Practice Address - Country:US
Practice Address - Phone:919-598-8834
Practice Address - Fax:919-597-7244
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHAPEL HILL URGENT CARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-08-25
Last Update Date:2011-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9701826207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty