Britthaven of Edenton, Inc.

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

NH0369 Issued in NC

Legal business name

BRITTHAVEN OF EDENTON, INC.

Doing business as

BRITTHAVEN OF EDENTON

Practice address

1341 Paradise Rd
Edenton, NC 27932-8503

Phone

(252) 482-7481

Fax

(252) 482-7674

NPI assigned

Oct 9, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Norwood Randolph Uzzell

Title

President

Phone

(252) 523-9094

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• BRITTHAVEN OF EDENTON Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1013105717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 566",
            "city": "EDENTON",
            "state": "NC",
            "postal_code": "279320566",
            "telephone_number": "252-482-7481",
            "fax_number": "252-482-7674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1341 PARADISE RD",
            "city": "EDENTON",
            "state": "NC",
            "postal_code": "279328503",
            "telephone_number": "252-482-7481",
            "fax_number": "252-482-7674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRITTHAVEN OF EDENTON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "UZZELL",
        "authorized_official_first_name": "NORWOOD",
        "authorized_official_middle_name": "RANDOLPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-523-9094",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NC",
            "license": "NH0369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406307",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRITTHAVEN OF EDENTON",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Percy Elbert Braswell Jr., PA-C
• Elizabeth Spencer Brentjens, LCSW
• Mathijs Henri Brentjens, MD
• Veronica Antoinette Brentjens, MD
• Jenny Bright, PHARMD
• Ian Luke Bryan, M.D.
• Joseph Henry Bunch, MA
• Bryan C Bunn, MD
• Courtney Layne Butler, NCCPSS
• Carolina Medical & Management Consultants, PLLC

• Nursing Facility/Intermediate Care Facility in Edenton, NC
• Providers in Edenton, NC by specialty
• Nursing Facility/Intermediate Care Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.