Organization Active NPI

E Brooks Wilkins Family Medicine PA

  • Family Medicine Physician
  • Raleigh, NC
National Provider Identifier
1043287774
Registry record updated Feb 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
E BROOKS WILKINS FAMILY MEDICINE PA
Practice address
4020 Wake Forest Rd
Ste 201
Raleigh, NC 27609-6866
Phone
(919) 571-6465
Fax
(919) 571-6455
NPI assigned
Mar 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2015

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

Authorized official

Name
Mrs. Darlene Whitaker Wilkins, MED RN CDE
Title
Office Administrator
Phone
(919) 571-6465

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

4020 Wake Forest Rd
Ste 201
Raleigh, NC 27609-6866

Mailing address

4020 Wake Forest Rd
Ste 201
Raleigh, NC 27609-6866
Phone (919) 571-6465

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423094400000",
    "number": "1043287774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 WAKE FOREST RD",
            "address_2": "STE 201",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096866",
            "telephone_number": "919-571-6465",
            "fax_number": "919-571-6455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 WAKE FOREST RD",
            "address_2": "STE 201",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096866",
            "telephone_number": "919-571-6465",
            "fax_number": "919-571-6455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E BROOKS WILKINS FAMILY MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-01",
        "last_updated": "2015-02-05",
        "status": "A",
        "authorized_official_last_name": "WILKINS",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_middle_name": "WHITAKER",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "919-571-6465",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MED RN CDE"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2015; 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.