Individual provider Active NPI

Linda Bresnahan, MD

  • Obstetrics & Gynecology Physician
  • Davidson, NC
National Provider Identifier
1023097664
Registry record updated Jul 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
33950 Issued in NC
Practice address
2101 Shiloh Church Rd
Ste 202
Davidson, NC 28036-7601
Phone
(704) 439-3770
NPI assigned
Jan 12, 2006
Last updated
Jul 16, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 33950 NC Primary

Addresses

Primary practice location

2101 Shiloh Church Rd
Ste 202
Davidson, NC 28036-7601

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Other practice location 1

1054 Burrage Rd NE
Concord, NC 28025-2910
Phone (704) 403-7800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081106000788 NC Practitioner - Obstetrics/Gynecology 9739107558 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
33950NCMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Physicians Network Inc Obstetrics & Gynecology CurrentSince Dec 19, 2018 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Dec 19, 2018 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Apr 1, 2014 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Current Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Apr 1, 2014 Accepting new patients

Locations

105 Yadkin St
Ste 102
Albemarle, NC 28001
Phone (704) 982-1590

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

1054 Burrage Rd NE
Concord, NC 28025
Phone (704) 403-7800

1085 NE Gateway Ct NE
#200A
Concord, NC 28025
Phone (704) 403-8650

200 Medical Park Dr
Ste 250
Concord, NC 28025
Phone (704) 403-2740

200 Medical Park Dr
Ste 430
Concord, NC 28025
Phone (704) 403-5890

2101 Shiloh Church Rd
Ste 202
Davidson, NC 28036
Phone (704) 403-7800

1585 Forney Creek Pkwy
Denver, NC 28037
Phone (704) 801-1760

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594857600000",
    "number": "1023097664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19305",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282199305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 SHILOH CHURCH RD",
            "address_2": "STE 202",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280367601",
            "telephone_number": "704-439-3770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1054 Burrage Rd NE",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280252910",
            "country_code": "US",
            "telephone_number": "704-403-7800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRESNAHAN",
        "first_name": "LINDA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-12",
        "last_updated": "2020-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "33950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davidson, NC

Sources for this page

Verify at the official NPI Registry.