Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 35217 | NC |
NPI | 1164496378 |
---|---|
Provider Name | Dr. Brian Thomas Szura |
First Address | Morrisville, NC 27560-8442 |
Second Address | Cary, NC 27518-7413 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2006 |
Last Update Date | 20/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2070149 | FIRST HEALTH (01) | |
2350842 | AETNA HMO (01) | |
2428606 | UNITED HEALTHCARE (01) | |
4318955 | AETNA PPO (01) | |
81106 | BCBS (01) | |
8981106 | (05) | NC |
F16676 | (02) |