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Contact Information

EDWARD C BRATZKE, MD
4420 LAKE BOONE TRL
RALEIGH, NC27607-7505
 Phone: 919-784-3034
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Critical Care Medicine

207LC0200X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for EDWARD C BRATZKE · (Male)

NPI Number 1245340280
Status Active
Credentials MD
Entity Individual
Enumeration date 08/30/2006
Last updated 03/30/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 9601244
  • NC Medicaid 89132EC
  • NC Other 132EC BCBS, NC
  • NC Other 5263154 CIGNA
  • NC Other 67718 MEDCOST
  • NC Other 21765 PARTNERS
  • NC Other 050047833 RAILROAD-MEDICARE
Hospital affiliation(s)
  • REX HOSPITAL - (Acute Care)
    4420 LAKE BOONE TRAIL
    RALEIGH, NC 27607
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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