Mayra Cristina Beauchamp Bruno (NPI# 1003015173, PAC ID# 0143404608) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1003015173 |
| PAC ID by PECOS | 0143404608 |
| Professional Enrollment ID | I20160321002223 |
| Full Name | Mayra Cristina Beauchamp Bruno |
| Organization Legal Name | FORSYTH MEMORIAL HOSPITAL INC |
| Address |
175 Kimel Park Dr Winston Salem NC 27103-6951 |
| Phone Number | 3367181006 |
| Gender | F |
| Medical School | UNIVERSITY OF PUERTO RICO SCHOOL OF MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 9537071790 |
| Number of Group Practice Members | 457 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340014 | NOVANT HEALTH FORSYTH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 175 Kimel Park Dr, Winston Salem, NC 27103-6951 | 3367181006 | FORSYTH MEMORIAL HOSPITAL INC |
| Organization Legal Name | FORSYTH MEMORIAL HOSPITAL INC |
| Physicians | 378 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sara Echols Bridges | Clinical Social Worker | Forsyth Memorial Hospital Inc | 485 Valley Rd, Mocksville, NC 27028-2074 |
| Meagan Early Cockfield | Nurse Practitioner | Forsyth Memorial Hospital Inc | 500 Pineview Dr, Suite 101, Kernersville, NC 27284-3813 |
| Chere Elizabeth Graham | Nurse Practitioner | Forsyth Memorial Hospital Inc | 903 Randolph St, Thomasville, NC 27360-5898 |
| Mayur Khandu Patel | Rheumatology | Forsyth Memorial Hospital Inc | 1551 Westbrook Plaza Dr, Suite 200, Winston Salem, NC 27103-1355 |
| Amy L Puckett-lawson | Nurse Practitioner | Forsyth Memorial Hospital Inc | 2133 Rockford St, Suite 1400, Mount Airy, NC 27030-6594 |
| Nicholas T Kipreos | Family Medicine | Forsyth Memorial Hospital Inc | 865 W Lake Dr, Mount Airy, NC 27030-2157 |
| Carrie J Merritt | Physician Assistant | Forsyth Memorial Hospital Inc | 105 Stadium Oaks Dr, Clemmons, NC 27012-8962 |
| Ana A Frunza | Family Medicine | Forsyth Memorial Hospital Inc | 1995 Bethabara Rd, Winston Salem, NC 27106-3375 |
| Brianna Lee Garrison | Physician Assistant | Forsyth Memorial Hospital Inc | 2010 Baldwin Ln, Winston Salem, NC 27103-5846 |
| Masud S Hashmi | General Surgery | Forsyth Memorial Hospital Inc | 250 Charlois Blvd, Winston Salem, NC 27103-1508 |
| Street Address |
175 KIMEL PARK DR |
| City | WINSTON SALEM |
| State | NC |
| Zip | 27103-6951 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kaitlin E Hoover | Physician Assistant | Forsyth Memorial Hospital Inc | 175 Kimel Park Dr, Suite 100, Winston Salem, NC 27103-6951 |
| Alex Perez | Physician Assistant | Forsyth Memorial Hospital Inc | 175 Kimel Park Dr, Suite 100, Winston Salem, NC 27103-6951 |
| Jessica A Edwards | Psychiatry | Forsyth Memorial Hospital Inc | 175 Kimel Park Dr, Suite 100, Winston Salem, NC 27103-6951 |
| Jennifer Reed Griffin | Nurse Practitioner | Forsyth Memorial Hospital Inc | 175 Kimel Park Dr, Suite 100, Winston Salem, NC 27103-6951 |
| Rachel C Reiland | Clinical Social Worker | Novant Medical Group Inc | 175 Kimel Park Dr, Suite 100, Winston Salem, NC 27103-6951 |
| Sakeitha L Crowder | Internal Medicine | Forsyth Memorial Hospital Inc | 175 Kimel Park Dr, Winston Salem, NC 27103-6951 |
| Wesley Hawfield | Dermatology | Forsyth Memorial Hospital Inc | 175 Kimel Park Dr, Winston Salem, NC 27103-6951 |
| Traci C Whitworth | Clinical Social Worker | Forsyth Memorial Hospital Inc | 175 Kimel Park Dr, Suite 100, Winston Salem, NC 27103-6951 |
| Raj Patel | Psychiatry | Forsyth Memorial Hospital Inc | 175 Kimel Park Dr, Suite 100, Winston Salem, NC 27103-6951 |
| Patricia Mathew | Psychiatry | Forsyth Memorial Hospital Inc | 175 Kimel Park Dr, Suite 100, Winston Salem, NC 27103-6951 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Predrag V Gligorovic | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| John G Spangler | Family Medicine | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| Sahil Munjal | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| Stephen I Kramer | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| Gayathri D Tadepalli | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| Richard Patrick Smith | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| James N Kimball | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| Katherine Atala | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| Heather Douglas | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| Richard Adam Boiter | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| Find all physicians in zip 27103 | |||
| City | WINSTON SALEM |
| Zip Code | 27103 |
| Specialty | DERMATOLOGY |
| City + Specialty | WINSTON SALEM + DERMATOLOGY |
Please comment or provide details below to improve the information on Mayra Cristina Beauchamp Bruno.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.