Provider Demographics
NPI:1699798751
Name:ROY, BRANDON P (MD)
Entity type:Individual
Prefix:DR
First Name:BRANDON
Middle Name:P
Last Name:ROY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2920 HIGHWOODS BLVD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27604-0010
Mailing Address - Country:US
Mailing Address - Phone:877-498-4490
Mailing Address - Fax:
Practice Address - Street 1:3024 NEW BERN AVE
Practice Address - Street 2:SUITE 304 - SURGERY / TRAUMA
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27610-1247
Practice Address - Country:US
Practice Address - Phone:919-350-8729
Practice Address - Fax:919-350-7633
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2021-04-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2005-00868208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5901718Medicaid
NC5901718Medicaid
I07293Medicare UPIN