DR. BRETT EDWARD DORFMAN (NPI# 1558370734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558370734 |
| Entity Type | Individual |
| Full Name | DR. BRETT EDWARD DORFMAN |
| Credential | M.D. |
| Practice Address |
11200 Governor Manly Way Ste 110 Raleigh NC 27614-7360 |
| Practice Telephone | 9195705900 |
| Mailing Telephone | 9195705900 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2019-02-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 9800512 | NC | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3024 New Bern Ave, Suite 200 - Ent, Raleigh, NC 276101247 | 9193507858 | 9193506720 |
| Street Address |
11200 GOVERNOR MANLY WAY STE 110 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27614-7360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013425933 | Rex Surgery Center of Wakefield, LLC | Clinic/Center | 11200 Governor Manly Way Ste 110, Raleigh, NC 27614-7360 | 2018-01-12 |
| 1457405151 | Anne Ogilvie Brown | Nurse Anesthetist, Certified Registered | 11200 Governor Manly Way Ste 110, Raleigh, NC 27614-7360 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215419379 | Patrick Orion Finn | Family Medicine | 10010 Falls of The Neuse Rd, Suite 11, Raleigh, NC 27614 | 2018-09-05 |
| 1538652557 | Amn Medical Group Pllc | General Practice | 13200 Falls of Neuse Rd Ste 113, Raleigh, NC 27614 | 2018-06-13 |
| 1497201727 | Kelsey Scheerer | Student in an Organized Health Care Education/Training Program | 11200 Governor Way, Raleigh, NC 27614 | 2016-08-28 |
| 1538521463 | Liane Rudd | Speech-Language Pathologist | 4700 Norbury Place, Raleigh, NC 27614 | 2016-03-21 |
| 1891088068 | Michelle Lynn Thompson | Pharmacist | 10930 Raven Ridge Road, Raleigh, NC 27614 | 2011-05-22 |
| 1821396185 | Bettye Jo Johnson | Physical Medicine & Rehabilitation | 11200 Governor Manly Way, Suite 305, Orhopaedic Specialists of North Carolina, Pa, Raleigh, NC 27614 | 2011-03-09 |
| 1982900650 | Blake Jennings Lamm | Pharmacist | 14460 New Falls of Neuse Rd, Suite 165, Raleigh, NC 27614 | 2011-01-28 |
| 1013223023 | Lauren S Lawler | Pharmacist | 11201 Durant Road, Raleigh, NC 27614 | 2010-08-27 |
| 1588985378 | Kashif Mazhar | General Acute Care Hospital | 10010 Falls of Neuse Road, Suite #12, Raleigh, NC 27614 | 2010-06-16 |
| 1922240100 | Harris Teeter, LLC | Durable Medical Equipment & Medical Supplies | 14520 John Rex Blvd, Raleigh, NC 27614 | 2009-04-02 |
| Find all providers in zip 27614 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710320510 | Nicolas-george Katsantonis | Otolaryngology | 4600 Lake Boone Trl Ste 100, Raleigh, NC 27607 | 2013-04-10 |
| 1346595238 | Bethany Lisi Buie | Otolaryngology | 3024 New Bern Ave Ste 200, Raleigh, NC 27610-1247 | 2012-07-17 |
| 1528390697 | Fred F. Holt | Otolaryngology | 4928 Misty Oak Dr, Raleigh, NC 27613-6348 | 2010-02-01 |
| 1699972307 | Jeevan B Ramakrishnan | Otolaryngology | 4600 Lake Boone Trl, Suite 100, Raleigh, NC 27607-7501 | 2007-06-27 |
| 1205971934 | Robert Powell Majors Jr. | Otolaryngology | 3508 Williamsborough Ct, Raleigh, NC 27609-6354 | 2007-02-20 |
| 1124043823 | Henry Clifford Baggett | Otolaryngology | 2518 Wake Dr, Raleigh, NC 27608-1340 | 2006-07-13 |
| 1730112442 | Barbara A Burggraaff | Otolaryngology | 5603 Duraleigh Rd Ste B, Raleigh, NC 27612-2688 | 2006-07-08 |
| 1194769752 | Timothy James Heffron | Otolaryngology | 10880 Durant Rd Ste 124, Raleigh, NC 27614-6629 | 2006-06-15 |
| 1043250822 | Magda El Raheb Pugh | Otolaryngology | 10010 Falls of Neuse Suite 012, Raleigh, NC 27614 | 2006-06-08 |
| 1326040700 | Irenee M Duncan | Otolaryngology | 2507 Kenmore Dr, Raleigh, NC 27608-1419 | 2005-08-15 |
| Find all providers in RALEIGH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.