Individual provider Active NPI

William Brown, FNP-C

  • Nurse Practitioner
  • Black Mountain, NC
National Provider Identifier
1104434703
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5013366 Issued in NC
Practice address
201 NC Highway 9
Black Mountain, NC 28711-3426
Phone
(828) 419-1035
NPI assigned
Jul 20, 2020
Last updated
Aug 2, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5013366 NC
Nurse Practitioner 363L00000X 5013366 NC Primary

Addresses

Primary practice location

201 NC Highway 9
Black Mountain, NC 28711-3426

Mailing address

PO Box 601843
Charlotte, NC 28260-1843

Other practice location 1

1201 Patton Ave
Asheville, NC 28806-2707
Phone (828) 252-4878

Other practice location 2

674 Merrimon Ave Ste 101
Asheville, NC 28804-3586
Phone (828) 348-7418

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201008003558 NC Practitioner - Nurse Practitioner 8123448354 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Medicorp Enterprises LLCGroup PAC ID 0648174904, 184 clinicians

Practice addresses (Care Compare)

201 NC Hwy 9
Black Mountain, NC 28711-3426
Phone (828) 419-1035

674 Merrimon Ave
Suite 101
Asheville, NC 28804-3586
Phone (828) 348-7418

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Medicorp Enterprises, LLC CurrentSince Jul 21, 2023 Accepting new patients
SCRN LLC CurrentSince Aug 15, 2021 Accepting new patients
Carolina Medicorp Enterprises, LLC CurrentSince Jul 21, 2023 Accepting new patients
Carolina Medicorp Enterprises Inc Nurse Practitioner Past Accepting new patients
Carolina Medicorp Enterprises Inc Past Accepting new patients

Locations

674 Merrimon Ave
Ste 101
Asheville, NC 28804
Phone (828) 348-7418

201 NC Highway 9
Black Mountain, NC 28711
Phone (828) 412-0327

9550 Rocky River Rd
Ste 150
Charlotte, NC 28215
Phone (704) 457-1510

3007 Wesley Chapel Stouts Rd
Ste B
Monroe, NC 28110
Phone (704) 412-3612

600 Highland Oaks Dr
Winston Salem, NC 27103
Phone (366) 774-0040

Interoperability endpoints

  • Direct secure messaging: wbrown1140856@direct.novanthealth.org

Organizations & group practices 5

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": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1104434703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601843",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282601843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 NC HIGHWAY 9",
            "city": "BLACK MOUNTAIN",
            "state": "NC",
            "postal_code": "287113426",
            "telephone_number": "828-419-1035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 Patton Ave",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288062707",
            "country_code": "US",
            "telephone_number": "828-252-4878",
            "fax_number": "828-252-4103",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "674 Merrimon Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288043586",
            "country_code": "US",
            "telephone_number": "828-348-7418",
            "fax_number": "828-348-7419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "WILLIAM",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-20",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5013366",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5013366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Black Mountain, NC

Sources for this page

Verify at the official NPI Registry.