| Bryan Weckel Md Family Medicine Pllc | |
|
310 S Bennett St Burgaw NC 28425-5048 | |
| (910) 259-1718 | |
| (910) 259-9929 |
| Full Name | Bryan Weckel Md Family Medicine Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 310 S Bennett St, Burgaw, North Carolina |
| Authorized Official Name and Position | Bryan Monty Weckel (OWNER) |
| Authorized Official Contact | 9102591718 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bryan Weckel Md Family Medicine Pllc Po Box 1266 Burgaw NC 28425-1266 Ph: (910) 259-1718 | Bryan Weckel Md Family Medicine Pllc 310 S Bennett St Burgaw NC 28425-5048 Ph: (910) 259-1718 |
| NPI Number | 1194736561 |
|---|---|
| Provider Enumeration Date | 08/11/2006 |
| Last Update Date | 06/18/2008 |
| Medicare PECOS PAC ID | 6305971524 |
|---|---|
| Medicare Enrollment ID | O20100312000832 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194736561 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Bryan Monty Weckel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508877952 PECOS PAC ID: 7113979857 Enrollment ID: I20050210000725 |
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