Individual provider · NPI-1
Daniel Brickman
Otolaryngology · Charlotte, NC
NPI number1760636450
StatusActive
Last updated in NPPESApr 26, 2021
Details
- NPI
- 1760636450
- Entity type
- Individual (NPI-1)
- Name
- Daniel Brickman
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 9, 2008
- Certification date
- Apr 26, 2021
- Last updated
- Apr 26, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Y00000X | Otolaryngology | 2016-00064 | NC | Yes |
Practice location
1021 Morehead Medical DrSuite A
Charlotte, NC 28204-2990
Phone 980-442-2000
Mailing address
1021 Morehead Medical DrCharlotte, NC 28204-2990
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