Individual provider Active NPI

Brandi Blumling Pursel, DO

  • Family Medicine Physician
  • Cary, NC
National Provider Identifier
1104098177
Registry record updated Oct 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2008-01705 Issued in NC
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

Updated by the provider on Oct 12, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
5910687MedicaidNC

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

LicenseStateTypeSpecialty
2008-01705NCMDFamily Medicine Physician
34.009201OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.