Provider Demographics
NPI:1700825486
Name:ZIEGLER, BRENT CHRISTIAN (MD)
Entity Type:Individual
Prefix:
First Name:BRENT
Middle Name:CHRISTIAN
Last Name:ZIEGLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1818 RICHARDSON DR
Mailing Address - Street 2:SUITE E
Mailing Address - City:REIDSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27320-5451
Mailing Address - Country:US
Mailing Address - Phone:336-634-0095
Mailing Address - Fax:336-616-0320
Practice Address - Street 1:1818 RICHARDSON DR
Practice Address - Street 2:SUITE E
Practice Address - City:REIDSVILLE
Practice Address - State:NC
Practice Address - Zip Code:27320-5450
Practice Address - Country:US
Practice Address - Phone:336-634-0095
Practice Address - Fax:336-616-0320
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2012-04-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH35085549208600000X
NC2008-01347208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery