Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Brunswick Family Medicine PA

Organization Family Medicine Physician · NPI 1396859872

Brunswick Family Medicine PA provides Family Medicine Physician services 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 Not confirmed with CMS for 12 years — call before visiting
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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