Provider Demographics
NPI:1124134010
Name:MAYS, BROOKS BELLAMY (MD)
Entity type:Individual
Prefix:
First Name:BROOKS
Middle Name:BELLAMY
Last Name:MAYS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 PAVILION WAY
Mailing Address - Street 2:
Mailing Address - City:SOUTHERN PINES
Mailing Address - State:NC
Mailing Address - Zip Code:28387-4561
Mailing Address - Country:US
Mailing Address - Phone:910-295-5511
Mailing Address - Fax:
Practice Address - Street 1:200 PAVILION WAY
Practice Address - Street 2:
Practice Address - City:SOUTHERN PINES
Practice Address - State:NC
Practice Address - Zip Code:28387-4561
Practice Address - Country:US
Practice Address - Phone:910-295-5511
Practice Address - Fax:910-235-3423
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2022-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200601892207RE0101X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCN01892OtherSC MEDICAID PROVIDER #
NC5906374Medicaid
NC198833OtherMEDCOST PROVIDER #
NC1446POtherBCBS NC PROVIDER #
NCFH2200320OtherFIRSTCAROLINACARE #
NC198833OtherMEDCOST PROVIDER #
NC5906374Medicaid