Brian David Sullivan, DO | |
2165 Medical Park Dr, Hickory, NC 28602-8809 | |
(828) 324-2800 | |
(828) 291-9160 |
Full Name | Brian David Sullivan |
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Gender | Male |
Speciality | Orthopaedic Surgery - Sports Medicine |
Location | 2165 Medical Park Dr, Hickory, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831551654 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207XX0005X | Orthopaedic Surgery - Sports Medicine | 92566 (Georgia) | Primary |
Entity Name | Orthoatlanta, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851937114 PECOS PAC ID: 3971406885 Enrollment ID: O20040129000005 |
Entity Name | Piedmont Orthopedics, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114317062 PECOS PAC ID: 4385963172 Enrollment ID: O20150429000361 |
Mailing Address | Practice Location Address |
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Brian David Sullivan, DO 900 Circle 75 Pkwy Se Ste 1700, Atlanta, GA 30339-3087 Ph: (770) 953-6929 | Brian David Sullivan, DO 2165 Medical Park Dr, Hickory, NC 28602-8809 Ph: (828) 324-2800 |
Dr. Donald A Campbell, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2165 Medical Park Dr, Hickory, NC 28602 Phone: 828-324-2800 Fax: 828-294-9141 | |
Peter T Hurley, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 214 18th St Se, Hickory, NC 28602 Phone: 704-323-2000 | |
Phillip Bostian, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2165 Medical Park Dr, Hickory, NC 28602 Phone: 828-294-7793 Fax: 828-294-9160 | |
Dr. Mark A Katz, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 214 18th St Se, Hickory, NC 28602 Phone: 828-624-1630 | |
Jason Patrick Norcross, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 214 18th St Se, Hickory, NC 28602 Phone: 704-323-2000 | |
Dr. Brian Allen Krenzel, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 214 18th St Se, Hickory, NC 28602 Phone: 704-323-2000 | |
Dr. Timothy H Kirkland, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2165 Medical Park Dr, Hickory, NC 28602 Phone: 828-324-2800 |