Active NPI
Paul Brent Ferrell, MD
- Rheumatology Physician
- Shelby, NC
National Provider Identifier
1053304477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 20125
- Practice address
- 711 N Dekalb St
Shelby, NC 28150-3911 - Phone
- (704) 482-1482
- Fax
- (704) 480-6012
- NPI assigned
- Aug 31, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 20125 | NC | Primary |
Addresses
Primary practice location
711 N Dekalb St
Shelby, NC 28150-3911
Mailing address
711 N Dekalb St
Shelby, NC 28150-3911
Phone (704) 482-1482
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8931712 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300665600000",
"number": "1053304477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 N DEKALB ST",
"city": "SHELBY",
"state": "NC",
"postal_code": "281503911",
"telephone_number": "704-482-1482",
"fax_number": "704-480-6012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 N DEKALB ST",
"city": "SHELBY",
"state": "NC",
"postal_code": "281503911",
"telephone_number": "704-482-1482",
"fax_number": "704-480-6012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERRELL",
"first_name": "PAUL",
"middle_name": "BRENT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-31",
"last_updated": "2011-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "NC",
"license": "20125",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8931712",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Shelby, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.