Provider Demographics
NPI:1316250871
Name:SACHS, BRIAN J (MD)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:J
Last Name:SACHS
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 1:1000 W HAMLET AVE
Mailing Address - Street 2:
Mailing Address - City:HAMLET
Mailing Address - State:NC
Mailing Address - Zip Code:28345-4522
Mailing Address - Country:US
Mailing Address - Phone:910-205-8000
Mailing Address - Fax:910-205-8107
Practice Address - Street 1:1000 W HAMLET AVE
Practice Address - Street 2:
Practice Address - City:HAMLET
Practice Address - State:NC
Practice Address - Zip Code:28345-4522
Practice Address - Country:US
Practice Address - Phone:910-205-8000
Practice Address - Fax:910-205-8107
Is Sole Proprietor?:No
Enumeration Date:2010-07-26
Last Update Date:2017-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC01618208M00000X, 207Q00000X
WI55835207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI100015728Medicaid
NC1316250871Medicaid
WI61354OtherDEAN HEALTH PLAN
WI64765OtherPHYSICIANS PLUS
WI64765OtherPHYSICIANS PLUS
NCNCT728Medicare PIN