Individual ProviderBruce U BrasherInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address250 Charlois Blvd, Winston-Salem, NC 27103-1508(336) 718-1000PECOS EnrollmentBased on the most recent information from CMS, provider Bruce U Brasher does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1992783971Provider TypeIndividualFull NameBrasher, Bruce UCredentialMDGenderMaleSole ProprietorNoEnumeration Date1/9/2006Last Updated2/14/2014Contact InformationPractice LocationPractice Address250 Charlois Blvd, Winston-Salem, NC 27103-1508Phone(336) 718-1000Fax(336) 718-1052Mailing LocationMailing AddressPO Box 751803, Charlotte, NC 28275-1803Phone(336) 718-1000Fax(336) 718-1052Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense28140North CarolinaProvider IdentifiersIDDescriptionIssuerID8918014DescriptionMedicaidIssuerUnlistedNorth Carolina