Individual provider Active NPI

James Bruce Carr II, PA-C

  • Physician Assistant
  • Richmond, VA
National Provider Identifier
1013993443
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110004183 Issued in VA
Practice address
2300 E Parham Rd
Richmond, VA 23228-3118
Phone
(804) 264-7808
NPI assigned
Dec 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110004183 VA Primary

Addresses

Primary practice location

2300 E Parham Rd
Richmond, VA 23228-3118

Mailing address

46041 W Belle Avenue
Maricopa, AZ 85239
Phone (520) 868-8443

Other practice location 1

US Public Health Clinic
3250 N. Pinal Parkway
Florence, AZ 85232
Phone (520) 868-8446

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address VAExchange@patientfirstclinics.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131017000669 VA Practitioner - Physician Assistant 9436156866 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3436AZMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Casa Grande Emergency Physicians PLLC Past Accepting new patients
Az Corridor Emergency Physicians Physician Assistant Past Accepting new patients
Ice Health Service Corps Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1134864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1013993443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46041 W BELLE AVENUE",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "85239",
            "telephone_number": "520-868-8443",
            "fax_number": "520-868-1547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 E PARHAM RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232283118",
            "telephone_number": "804-264-7808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "US Public Health Clinic",
            "address_2": "3250 N. Pinal Parkway",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "AZ",
            "postal_code": "85232",
            "country_code": "US",
            "telephone_number": "520-868-8446",
            "fax_number": "520-868-1547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARR",
        "first_name": "JAMES",
        "middle_name": "BRUCE",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-18",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110004183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "VAExchange@patientfirstclinics.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2300 E Parham Rd",
            "city": "Richmond",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232283118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.