Dr. Mark M Brassfield, M.D.
Pediatrics in Greensboro, NC. Individual provider (NPI-1).
NPI number1366421471
StatusActive
Last updated in NPPESJun 24, 2008
Details
- NPI
- 1366421471
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mark M Brassfield
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 17, 2006
- Last updated
- Jun 24, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 29226 | NC | Yes |
Practice location
2707 Henry StGreensboro, NC 27405-3669
Phone 336-574-4280 · Fax 336-574-4634
Mailing address
2707 Henry StGreensboro, NC 27405-3669
Phone 336-574-4280 · Fax 336-574-4634
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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