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BRENTWOOD CLINIC, P.A.
NPI 1497906051
Internal Medicine in Wilson, NC

Active since October 01, 2008
110 BRENTWOOD CENTER LN N, WILSON, NC 27896(252) 291-8600(252) 291-6914 Get Directions Write a Review

NPPES record last updated: October 6, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Brentwood Clinic, P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRENTWOOD CLINIC, P.A. (NPI 1497906051) is a healthcare organization registered as an internal medicine in Wilson, North Carolina and active in the NPI registry since October 2008. The organization lists Medhat Fahmy Sidaros, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1497906051
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBRENTWOOD CLINIC, P.A.
Location Address110 BRENTWOOD CENTER LN NWilson, NC 27896-1710
Mailing AddressPo Box 3544Wilson, NC 27895-3544 · (252) 291-8600 · Fax (252) 291-6914
Phone(252) 291-8600
Fax(252) 291-6914
Organization SubpartNo
Authorized OfficialMedhat Fahmy SidarosOwner/president · (252) 291-8600
Enumeration DateOctober 1, 2008
Last NPPES UpdateOctober 6, 2008
✔ NPI 1497906051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NC · 96-00733
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
110 BRENTWOOD CENTER LN N, Wilson, NC 27896
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Other Identifiers 4

Medicare UPING39185NC
Medicare PINP00602562NC
Medicaid5900812NC
Medicare PIN2040262CNC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. TAMIKA CORPREW FNP
Nurse Practitioner (Primary Care)
110 BRENTWOOD CENTER LN N
WILSON, NC 27896
Wilson County (252) 991-5382
JANELLE BROWN TAFT MSN, FNP-C
Nurse Practitioner (Family)
110 BRENTWOOD CENTER LN N
WILSON, NC 27896
Wilson County (252) 991-5382
WILSON COMMUNITY FAMILY PRACTICE
Clinic/Center
110 BRENTWOOD CENTER LN N
WILSON, NC 27896
Wilson County (252) 991-5382

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brentwood Clinic, P.A.'s NPI number?

The NPI number for Brentwood Clinic, P.A. is 1497906051. It was assigned to this organization in the NPPES registry on October 1, 2008.

Where is Brentwood Clinic, P.A. located?

Brentwood Clinic, P.A. is located at 110 Brentwood Center Ln N, Wilson, NC 27896. The listed phone number is (252) 291-8600.

What is Brentwood Clinic, P.A.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Brentwood Clinic, P.A. was last updated on October 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.