WAYNE DEWITT BRENCKMAN JR.


Address: 5632 Denwood Ln, Durham, NC 27705-9252
Phone: 9193832131

WAYNE DEWITT BRENCKMAN JR. (NPI# 1861759391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861759391
Entity Type Individual
Full Name WAYNE DEWITT BRENCKMAN JR.
Credential M.D.
Practice Address 5632 Denwood Ln
Durham
NC 27705-9252
Practice Telephone 9193832131
Practice Fax Number 9193830538
Mailing Telephone 9193832131
Mailing Fax Number 9193830538
Enumeration Date 2012-04-22
Last Update Date 2012-04-22
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RX0202X Internal Medicine
Specialization: Medical Oncology
19841 NC Allopathic & Osteopathic Physicians

Office Location

Street Address 5632 DENWOOD LN
City DURHAM
State NC
Zip Code 27705-9252

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1295371755 Tyler Beach, Lcsw, Pllc Social Worker 2740 Spencer Street, Durham, NC 27705 2019-11-20
1720635477 Brittany W Fry Registered Nurse 2301 Erwin Road, Hafs Building, Room 6670, Durham, NC 27705 2019-08-19
1760968044 Nicole D Moore Social Worker 1921 N. Pointe Dr, Suite 280, Durham, NC 27705 2018-07-19
1144757097 Emileigh S Dowling Physical Therapist 3475 Erwin Rd Bldg 2, Durham, NC 27705 2017-05-22
1487195350 Daniel Lynch Physical Therapist 3475 Erwin Road, Pepsico Building, Durham, NC 27705 2017-03-13
1780131839 Michael A Fitzpatrick Iv Physical Therapist 3475 Erwin Rd Bldg 2nd, Durham, NC 27705 2016-09-07
1609241736 Julia Power Constant Physician Assistant Dumc Box 3913, Durham, NC 27705 2015-12-01
1518344159 Amanda Clark Coniglio Internal Medicine 2301 Erwin Rd # 3845, Durham, NC 27705 2015-05-04
1720486988 Jennifer Dawn Pace Physician Assistant 1821 Hillandale Road Suite 24a, Duke Urgent Care, Durham, NC 27705 2014-12-19
1942612106 Rachel Hibberd Psychologist 508 Fulton Avenue, Durham Va Medical Center, Durham, NC 27705 2014-05-22
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Taxonomy Information

Taxonomy Code 207RX0202X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Medical Oncology

Taxonomy Definition

An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730658808 Laura Kolker Max Internal Medicine 2301 Erwin Road Unit 9300, Durham, NC 27710-2621 2018-11-19
1396249256 Deanna Andrews Griffie Internal Medicine 20 Medicine Circle Duke Cancer Center Clinic 3-2, Durham, NC 27710-0001 2018-03-23
1558885004 Casey Marie Mozingo Internal Medicine 20 Duke Medicine Circle Duke Cancer, Durham, NC 27710-0001 2017-07-26
1174942262 Kristen Leigh Perez Internal Medicine 20 Duke Medicine Circle Duke Cancer Center Clinic 5-1, Durham, NC 27710-4699 2014-04-16
1851739239 Jingquan Jia Internal Medicine 20 Duke Medicine Drive, Durham, NC 27710 2013-06-07
1023119534 Carin Adams Caves Internal Medicine Duke University Hospital, 9300 Inpatient Unit, 2301 Erwin Rd, Durham, NC 27710-2121 2006-09-26
1184694754 Gerard C Blobe Internal Medicine Box 2631 Dumc, Durham, NC 27710-0001 2006-01-25
1982265369 Rachel Pienknagura Internal Medicine 20 Duke Medicine Cir, Durham, NC 27710-2000 2019-06-26
1568875326 Joseph Dixon Purvis IIi Internal Medicine 4819 Emperor Blvd, Suite 400, Durham, NC 27703-5420 2014-06-09
1033452362 Thomas D Rodgers Internal Medicine 508 Fulton St, Durham, NC 27705-3875 2013-04-04
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Competitor

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City DURHAM
Zip Code 27705

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Dataset Information

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.

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