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Contact Information

JULIAN C BRANTLEY III, MD
303 GREEN ST E
WILSON, NC27893-4105
 Phone: 252-243-9800
 Fax: 252-243-9888
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for JULIAN C BRANTLEY III · (Male)

NPI Number 1225136104
Status Active
Credentials MD
Entity Individual
Enumeration date 09/21/2006
Last updated 07/05/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NC License # 21455
  • NC Medicaid 8917984
  • NC Other 17984 BLUE CROSS BLUE SHIELD
  • NC Other 160030995 MEDICARE RAILROAD
Hospital affiliation(s)
  • NASH GENERAL HOSPITAL - (Acute Care)
    2460 CURTIS ELLIS DRIVE
    ROCKY MOUNT, NC 27804
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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