Individual provider Active NPI

Brandon Murray, DDS

  • Dentist
  • Fayetteville, NC
National Provider Identifier
1093217184
Registry record updated Mar 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10808 Issued in NC
Practice address
2935 Breezewood Ave Ste 200
Fayetteville, NC 28303-5498
Phone
(910) 323-3133
NPI assigned
Mar 5, 2018
Last updated
Mar 5, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 10808 NC Primary

Addresses

Primary practice location

2935 Breezewood Ave Ste 200
Fayetteville, NC 28303-5498

Mailing address

3441 Torrington Way Apt 14
Fayetteville, NC 28314-2655
Phone (910) 578-4226

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191125001966 NC Order and Referring Only - DentistPractitioner - Dentist 8729411137

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10858NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Walter S Scott DDS PA Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1520208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520208000000",
    "number": "1093217184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3441 TORRINGTON WAY APT 14",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283142655",
            "telephone_number": "910-578-4226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2935 BREEZEWOOD AVE STE 200",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283035498",
            "telephone_number": "910-323-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "BRANDON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-05",
        "last_updated": "2018-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "10808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.