Provider Demographics
NPI:1811969082
Name:NEWMAN, LEON BRYANT (MD)
Entity type:Individual
Prefix:
First Name:LEON
Middle Name:BRYANT
Last Name:NEWMAN
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:PO BOX 60447
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-0447
Mailing Address - Country:US
Mailing Address - Phone:704-637-2750
Mailing Address - Fax:704-637-5514
Practice Address - Street 1:911 W HENDERSON ST
Practice Address - Street 2:SUITE 410
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28144-2736
Practice Address - Country:US
Practice Address - Phone:704-637-2750
Practice Address - Fax:704-637-5514
Is Sole Proprietor?:No
Enumeration Date:2006-02-02
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0033411208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC010024290OtherRRMEDC PROVIDER NUMBER
NC2657053001OtherCIGNA PROVIDER NUMBER
NC39746OtherMEDCOST PROVIDER NUMBER
NC262703OtherMAMSI PROVIDER NUMBER
NC62421OtherBCBS PROVIDER NUMBER
NC0925945OtherAETNA HMO PROVIDER NUMBER
NC4334OtherPARTNERS PROVIDER NUMBER
NC4492282OtherAETNA PROVIDER NUMBER
NC991820OtherBEECHSTREET/FOCUS
NC8962421Medicaid
NC234476OtherPRIVATE HEALTH CARE SYS
NC414338OtherUNITED PROVIDER NUMBER
NC89961Other1ST HEALTH PROVIDER NUMBE
NC4492282OtherAETNA PROVIDER NUMBER
NC414338OtherUNITED PROVIDER NUMBER
NCC70286Medicare UPIN