Provider Demographics
NPI:1356388953
Name:MCBRIDE, ANN F (MD)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:F
Last Name:MCBRIDE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 CRESCENT GREEN DR
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-8101
Mailing Address - Country:US
Mailing Address - Phone:919-467-3211
Mailing Address - Fax:919-235-3042
Practice Address - Street 1:1001 CRESCENT GREEN DR
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-8101
Practice Address - Country:US
Practice Address - Phone:919-467-3211
Practice Address - Fax:919-235-3042
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2013-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC30067208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC55562OtherBCBS
NC8955562Medicaid
NC55562OtherBCBS