Individual provider · Type 1 NPI

Mackenzie Brannon Bonilla Reyes, PA-C

Physician Assistant · Charlotte, NC

NPI number 1073360277 Active

Practice location

1000 Blythe Blvd
Charlotte, NC 28203-5812

Call (704) 446-5185 Map

Fax (704) 446-0221

Mailing address

327 Houston St NE
Concord, NC 28025-3258

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X0010-15028 (NC)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1073360277

Mackenzie Brannon Bonilla Reyes, PA-C's National Provider Identifier is 1073360277, issued on May 4, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Charlotte, NC. The record was last updated on Jan 28, 2025.