Who We Are

The Bream Team

Dr. John Bream

Dr. John Bream is a lifelong North Carolina resident. He grew up in Hamlet, a small, rural railroad town in the Sandhills region of the state. After graduating from Richmond Senior High School, John attended East Carolina University where he graduated summa cum laude with a Bachelor of Science degree in Biology and Bachelor of Arts degree in History. He obtained his Doctor of Medicine from the Brody School of Medicine at East Carolina University.

John then completed his residency in Emergency Medicine at Vidant Medical Center in Greenville, North Carolina, which is routinely one of the top 30 busiest Emergency Departments in the United States. He is board-certified by the American Board of Emergency Medicine and has been a Fellow of the American College of Emergency Physicians. He also serves as the Medical Director of Immunotek Bio Centers’ plasma donation center in High Point, North Carolina, and is a proud member of the North Carolina Physicians for Freedom movement.

His career has included practicing at multiple Emergency Departments in the Charlotte and Triad metropolitan area as well as in multiple critical access Emergency Departments in Eastern North Carolina. His career also includes a successful 5-year stint as Medical Director at Novant Rowan Medical Center where his team was able to implement major improvements to the quality of care provided. Together they took the Rowan Emergency Department from one of the lowest performing Emergency Departments in America to one of the top performing departments in the Novant system.

In his free time, Dr. Bream enjoys golfing, tennis, running, spending time with his family, and traveling, especially to the beach. He is also an avid sports fan and supports his favorite teams including the Charlotte Hornets, Carolina Panthers, and the East Carolina University Pirates.


  • Bachelor of Science in Biology
  • Bachelor of Arts in History
  • Doctor of Medicine from the Brody School of Medicine at East Carolina University



  • Emergency Medicine at Vidant Medical Center in Greenville, North Carolina
  • Fellowship – American College of Emergency Physicians



  • Board-certified by the American Board of Emergency Medicine



  • Multiple Years’ Experience in Emergency Departments all over North Carolina
  • Serves as Medical Director of Immunotek Bio Centers’ Plasma Donation Center in High Point
  • Served for 5 Years as Medical Director at Novant Rowan Medical Center
  • Proud Member of North Carolina Physicians for Freedom

Alfonso Rodriguez PA-C

Alfonso Rodriguez was born and raised in the suburbs of Los Angeles and joined the military as a medic when he was 21 years old. His first deployment was to Afghanistan in 2003 and it was at that time that he realized he had a passion for medicine and wanted to become a Physician’s Assistant. After active duty, he met his wife Lara in the North Carolina National Guard. They married in 2007 and now have four children together.

In 2012 Alfonso was accepted into the military Physician’s Assistant program where he did his didactic portion at Ft. Sam Houston Texas, and his clinical at Fort Sill Oklahoma. After school, he took on his first job in the Emergency Department at Cape Fear Valley Medical Center. Shortly after his two-year contract he and his wife moved back to Salisbury. He has been working at Novant Rowan Regional Medical Center in the Emergency Department for almost five years now.

In his spare time, Alfonso enjoys watching the Dodgers or the Buccaneers play, going camping with his family, playing video games with his kids, and tending to his homestead where he and his wife raise free range chickens and Nigerian dwarf goats.


  • Military Physician’s Assistant Program



  • Board Certified Physician’s Assistant



  • Several Years as a Medic in the Military
  • 7+ Years as a Physician’s Assistant in the Emergency Department

Zack Briggs PA-C

Dr. Bream is pleased to announce Zack Briggs, PA-C as the newest member of the Bream Medical team. Over the course of working together for several years, Dr. Bream was always impressed with how well Zack interacted with patients and took the time to ask and answer questions. Dr. Bream jokingly adds that there was only ever one other person in the ER who he could not beat in patient satisfaction scores, and that was Zack. As they say, “if you can’t beat ‘em, join ‘em!” So, I hired him!

Zack Briggs has practiced for over 6 years in emergency medicine, gaining knowledge and experience across all areas of healthcare. Throughout the years he has become proficient in a vast array of medical procedures and treatments. Zack has a passion for healthy living and wants to utilize the knowledge and skills that he has learned over the years in the primary and urgent care setting to encourage his patients to live active and healthy lives. He has a passion for education and enjoys sitting down with his patients and working through problems and situations with them, encouraging them to ask questions and to be a driving force behind their own health. His goal is to prevent chronic health conditions and provide treatment in the urgent care setting to decrease the need for hospitalization.


  • Bachelor’s degree in Exercise Science with a Minor in Psychology at Appalachian State University
  • Master of Medicine Degree at East Carolina University



  • 6 years of Emergency Medicine

Join The Revolution

Bream Medical is Hiring! Contact us Today to Learn More About our Job Openings


Yes, we are! Want to join the Revolution? Call us to inquire about what positions are available. We’d love for you to join the team!

Not at all. We accept both appointments and walk-ins!

You should always go to the ER or call 911 if life or limb are at risk. However, here are some examples of situations that you can come to an Urgent Care for: if your primary care doctor’s office is closed, you have symptoms of a cold or flu, mild sprains and strains, cuts that may need stitches, abdominal pain, vomiting and diarrhea, dehydration, painful urination, etc.

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