Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brunswick Family Medicine PA

Organization Family Medicine Physician · NPI 1396859872

Brunswick Family Medicine PA is a Family Medicine Physician in Southport, North Carolina. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3960 Executive Park Blvd Unit 600
Southport, NC 28461
Phone: (910) 454-4343
Fax: (910) 457-9209
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1396859872
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Slade Suchecki — President · (910) 454-4343
NPI enumeratedAugust 19, 2006
Last updated in NPPESSeptember 25, 2014
Mailing address3960 Executive Park Blvd, Unit 600, Southport, NC 28461

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