Brad Clinton Morgan, D.D.S.
Individual provider Active NPI General Practice Dentistry · Canton, NC
NPI 1043436611 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1043436611
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 4985 (NC)
- Practice address
- 135 Pisgah Dr
Canton, NC 28716-4858 - Phone
- (828) 648-4228
- Fax
- (828) 648-0011
- NPI assigned
- Apr 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151130000672 | NC | Order and Referring Only - Oral Surgery |
2163722901 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4985 | NC | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Haywood | Past | Accepting new patients | |
| Robert L. Franklin, III, D.M.D., PLLC | General Practice | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4985 | NC | Yes |
Addresses
Primary practice location
135 Pisgah Dr
Canton, NC 28716-4858
Mailing address
135 Pisgah Dr
Canton, NC 28716-4858
Phone (828) 648-4228
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8996175 | Medicaid | NC |
Other providers in Canton, NC
- Meridian Behavioral Health Services
- Darren Mesibov
- Ashley Hale Miller
- Beverly Miller
- Anna Franklin Mooney
- Spencer Lewis Morrison
- Rita Jenkins Moss
- Mountain Eye Associates PLLC
- New Mountain Eye Associates PLLC
- Christopher Nkanyi Nkongnchu
All providers in Canton, NC · General Practice Dentistry in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.