Melanie Elaine Broadbridge, AA-C

Primary specialty

Anesthesiologist AssistantTaxonomy code 367H00000X

License

1000-00840 Issued in NC

Practice address

1900 Kildaire Farm Rd
Cary, NC 27518-6616

Phone

(363) 953-7203

NPI assigned

Jan 13, 2017

Last updated

Jan 27, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Melanie Elaine Phillips Former name

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Anesthesiology Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

American Anesthesiology of North Carolina PLLCGroup PAC ID 2961316450, 315 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Associate of Arts

State licenses

Practice roles

Locations

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.

• American Anesthesiology of North Carolina, PLLC

  • Certified Registered Nurse Anesthetist
  • Burlington, NC
  • NPI 1053677195
  Medicare reassignment Care Compare group NPD
• American Anesthesiology of North Carolina, PLLC

  dba Carolina Pain Consultants

  • Pain Medicine (Anesthesiology) Physician
  • Wake Forest, NC
  • NPI 1942248547
  NPD

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

{
    "created_epoch": "1484265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1033655105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 SPRING FOREST RD STE 120",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276162880",
            "telephone_number": "336-953-7203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 KILDAIRE FARM RD",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275186616",
            "telephone_number": "363-953-7203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROADBRIDGE",
        "first_name": "MELANIE",
        "middle_name": "ELAINE",
        "name_prefix": "Ms.",
        "credential": "AA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-13",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "NC",
            "license": "1000-00840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELANIE",
            "last_name": "PHILLIPS",
            "middle_name": "ELAINE",
            "prefix": "MS.",
            "credential": "AA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ashley Brinn, NP
• Desirre Kenyetta Britt, MSW, LSSW, LCSW
• Gina Kirkpatrick Britt, PHARMD
• Adrianna C Britton
• Christa Brixey, RD, LDN
• Broadview Psychological Services PLLC (Tracy A Dotterman LPA)
• Ashley Broadwater, LCMHC-A
• Lauren Elizabeth Broadwell, M.S., BCBA
• Kelly Louise Broady
• Courtney Brocious, CCC-SLP

• Anesthesiologist Assistant in Cary, NC
• Providers in Cary, NC by specialty
• Anesthesiologist Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.