Active NPI
Pamela Blakely Briskey, M.D.
- Family Medicine Physician
- Smithfield, NC
National Provider Identifier
1104094028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 9600483
- Practice address
- 509 N Brightleaf Blvd
Smithfield, NC 27577-4407 - Phone
- (919) 934-8171
- Fax
- (919) 934-3521
- NPI assigned
- Feb 13, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 9600483 | NC | |
| Family Medicine Physician | 207Q00000X | 9600483 | NC | Primary |
Addresses
Primary practice location
509 N Brightleaf Blvd
Smithfield, NC 27577-4407
Mailing address
509 N Brightleaf Blvd
Smithfield, NC 27577-4407
Phone (919) 938-7189
Other names 1
- Dr. Pamela Faye Blakely
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9600483 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johnston Memorial Quik Med II | Past | Accepting new patients | |
| Rex Hospital Inc | Past | Accepting new patients | |
| NC Comprehensive Hospitalists PLLC | Hospitalist | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Urgent Care Clinic/Center
- Garner, NC
- NPI 1538281779
-
- Hospitalist Physician
- Smithfield, NC
- NPI 1023310257
-
- Cardiovascular Disease Physician
- Raleigh, NC
- NPI 1972939643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725321600000",
"number": "1104094028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "509 N BRIGHTLEAF BLVD",
"city": "SMITHFIELD",
"state": "NC",
"postal_code": "275774407",
"telephone_number": "919-938-7189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 N BRIGHTLEAF BLVD",
"city": "SMITHFIELD",
"state": "NC",
"postal_code": "275774407",
"telephone_number": "919-934-8171",
"fax_number": "919-934-3521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRISKEY",
"first_name": "PAMELA",
"middle_name": "BLAKELY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-13",
"last_updated": "2024-09-03",
"certification_date": "2024-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NC",
"license": "9600483",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "9600483",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PAMELA",
"last_name": "BLAKELY",
"middle_name": "FAYE",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Smithfield, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.