Active NPI
Brandi Blumling Pursel, DO
- Family Medicine Physician
- Cary, NC
National Provider Identifier
1104098177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2008-01705
- Practice address
- 1110 Kildaire Farm Rd
Cary, NC 27511-4523 - Phone
- (919) 481-0277
- NPI assigned
- Mar 29, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34.009201 | OH | |
| Family Medicine Physician | 207Q00000X | 2008-01705 | NC | Primary |
Addresses
Primary practice location
1110 Kildaire Farm Rd
Cary, NC 27511-4523
Mailing address
1110 Kildaire Farm Rd
Cary, NC 27511-4523
Phone (919) 481-0277
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5910687 | 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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2008-01705 | NC | MD | Family Medicine Physician |
| 34.009201 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johnston Primary Care Physician Services Inc | Family Medicine | 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 and National Provider Directory roles.
-
- Family Medicine Physician
- Smithfield, NC
- NPI 1841455755
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476230400000",
"number": "1104098177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1110 KILDAIRE FARM RD",
"city": "CARY",
"state": "NC",
"postal_code": "275114523",
"telephone_number": "919-481-0277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 KILDAIRE FARM RD",
"city": "CARY",
"state": "NC",
"postal_code": "275114523",
"telephone_number": "919-481-0277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURSEL",
"first_name": "BRANDI",
"middle_name": "BLUMLING",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-29",
"last_updated": "2016-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "34.009201",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "2008-01705",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5910687",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.