Provider Demographics
NPI:1336597392
Name:MAY, BRIAN LOUIS (MD)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:LOUIS
Last Name:MAY
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 1:900 EAST BLVD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28203-5204
Mailing Address - Country:US
Mailing Address - Phone:704-655-8988
Mailing Address - Fax:
Practice Address - Street 1:900 EAST BLVD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28203-5204
Practice Address - Country:US
Practice Address - Phone:704-655-8988
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-01
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2022-01530208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2022-01530OtherNORTH CAROLINA MEDICAL BOARD - PHYSICIAN LICENSE