David Chester Newbrough, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

100258 Issued in NC

Practice address

102 Medical Dr
Elizabeth City, NC 27909-3361

Phone

(252) 338-4117

NPI assigned

Oct 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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 and National Provider Directory roles.

• Gates County Medical Center LLC

  • Primary Care Clinic/Center
  • Gatesville, NC
  • NPI 1639217631
  NPD
• Gateway Community Health Centers, Inc

  • Clinic Pharmacy
  • Gatesville, NC
  • NPI 1447843370
  NPD
• North Carolina Em I Medical Services P C

  • Physician Assistant
  • Elizabeth City, NC
  • NPI 1255581443
  NPD (past)
• Waterway Emergency Physicians LLC

  • Emergency Medicine Physician
  • Elizabeth City, NC
  • NPI 1487804670
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1083708812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 297",
            "city": "GATESVILLE",
            "state": "NC",
            "postal_code": "279380297",
            "telephone_number": "252-357-1226",
            "fax_number": "252-357-1236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 MEDICAL DR",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279093361",
            "telephone_number": "252-338-4117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWBROUGH",
        "first_name": "DAVID",
        "middle_name": "CHESTER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "100258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC MEDICAL BOARD LICENSE",
            "identifier": "100258",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Travis Patrick Nestlerode, DPT
• New Image
• Tarhata Newby, PHARMD
• Newport Pathology Inc
• Courtney Austin Nixon, NP
• Wendi Dawn Nixon, NCC, LPC
• Whitney Lea Noce

• Medical Physician Assistant in Elizabeth City, NC
• Providers in Elizabeth City, NC by specialty
• Medical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.