Provider Demographics
NPI:1942237094
Name:BRESSLER, GARRETT SCHELL (MD)
Entity Type:Individual
Prefix:DR
First Name:GARRETT
Middle Name:SCHELL
Last Name:BRESSLER
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 1:1920 FRONT ST
Mailing Address - Street 2:CROASDAILE OFFICE PARK STE 810
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705
Mailing Address - Country:US
Mailing Address - Phone:919-383-6696
Mailing Address - Fax:919-353-5829
Practice Address - Street 1:1920 FRONT ST
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705
Practice Address - Country:US
Practice Address - Phone:919-383-6696
Practice Address - Fax:919-353-5829
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-26
Last Update Date:2019-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC25985207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8918182Medicaid
NCC81373Medicare UPIN
NC8918182Medicaid