Sukhdev Singh Brar, DO
Individual provider Active NPI Family Medicine Physician · Clemmons, NC
NPI 1225733017 · NPPES record last updated Sep 2, 2026
Key facts
- NPI
- 1225733017
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 2026-3280 (NC)
- Practice address
- 2311 Lewisville Clemmons Rd FL 3
Clemmons, NC 27012-8905 - Phone
- (336) 713-8900
- NPI assigned
- Apr 3, 2023
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230724004022 | NC | Order and Referring Only - Family Practice |
6608236575 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2026-3280 | NC | Yes |
Addresses
Primary practice location
2311 Lewisville Clemmons Rd FL 3
Clemmons, NC 27012-8905
Mailing address
100 Kimel Forest Dr
Winston Salem, NC 27103-6074
Phone (336) 713-0947
Other practice location 1
1920 W 1st St Fl 3
Winston Salem, NC 27104-4220
Phone (336) 716-4479
Other providers in Clemmons, NC
- Jessica Diane Born
- Margo Born
- Leslie Jean Boucherle
- Marianna Bowen
- Catherine R Bradford
- Madeline Gautreaux Brence
- Rachel Hannah Bretz
- Brianna Alexis Brigman
- Jessica Rena Brinkley-McNair
- Wendy Dawn Broadstreet
All providers in Clemmons, NC · Family Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.