Provider Demographics
NPI:1366556144
Name:BREINER, JEFFREY HUGH (MD)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:HUGH
Last Name:BREINER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:200 HEALTH PARK DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:GARNER
Mailing Address - State:NC
Mailing Address - Zip Code:27529-4679
Mailing Address - Country:US
Mailing Address - Phone:919-773-1223
Mailing Address - Fax:919-773-1955
Practice Address - Street 1:200 HEALTH PARK DR
Practice Address - Street 2:SUITE 100
Practice Address - City:GARNER
Practice Address - State:NC
Practice Address - Zip Code:27529-4679
Practice Address - Country:US
Practice Address - Phone:919-773-1223
Practice Address - Fax:919-773-1955
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2012-04-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC97-00485207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8911323Medicaid
NC2252746BMedicare ID - Type Unspecified
NCG69882Medicare UPIN