Brentwood Clinic, P.A.

LBN: Brentwood Clinic, P.A.
Brentwood Clinic, P.A. is an health care organization with primary practice located at 110 Brentwood Center Ln N , Wilson NC 27896-1710. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Brentwood Clinic, P.A. can be contacted via phone (252) 291-8600, or through Sidaros, Medhat Fahmy via phone (252) 291-8600.

Contact Information

Primary practice address
110 Brentwood Center Ln N Wilson NC 27896-1710
Phone: (252) 291-8600
Fax: (252) 291-6914
Website:
Map and Directions
Authorized official contact:
Name: Sidaros, Medhat Fahmy Doctor of Medicine (MD)
Phone: (252) 291-8600

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 96-00733 North Carolina

Profile Details

NPI number 1497906051
LBN Legal business name Brentwood Clinic, P.A.
DBA Doing business as
Authorized official Sidaros, Medhat Fahmy Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 1st, 2008
Last updated Oct 6th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497906051 NPPES
North Carolina MEDICAID 5900812

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