Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 36633 | NC |
N | 111NI0900X | Internist | 36633 | NC |
Y | 207RH0003X | Hematology & Oncology | 36633 | NC |
NPI | 1003869413 |
---|---|
Provider Name | Dr. Gary Bradley Sherrill |
First Address | Greensboro, NC 27415-4878 |
Second Address | Greensboro, NC 27403-1118 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2006 |
Last Update Date | 20/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
10304 | PARTNERS MEDICARE (01) | NC |
57371 | MEDCOST (01) | NC |
5889067 | AETNA (01) | NC |
75762 | BCBS NC (01) | NC |
8975762 | (05) | NC |
F99197 | (02) |