William Brown, FNP-C
Individual provider Active NPI Nurse Practitioner · Black Mountain, NC
NPI 1104434703 · NPPES record last updated Aug 2, 2024
Key facts
- NPI
- 1104434703
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 5013366 (NC)
- Practice address
- 201 NC Highway 9
Black Mountain, NC 28711-3426 - Phone
- (828) 419-1035
- NPI assigned
- Jul 20, 2020
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare Care Compare profile
- 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 LLC
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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201008003558 | NC | Practitioner - Nurse Practitioner | 8123448354 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5013366 | NC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Medicorp Enterprises, LLC | Current |
Accepting new patients | |
| Carolina Medicorp Enterprises, LLC | Current |
Accepting new patients | |
| SCRN LLC | Current |
Accepting new patients | |
| Carolina Medicorp Enterprises Inc | Past | Accepting new patients | |
| Carolina Medicorp Enterprises Inc | Nurse Practitioner | 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
- wbrown1140856@direct.novanthealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5013366 | NC | |
| Nurse Practitioner | 363L00000X | 5013366 | NC | Yes |
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
Other providers in Black Mountain, NC
- Sandra McClure Bradish
- Diana Bright
- Laurel Evans Broadhurst
- Donald Franklen Brown II
- Shana Kalley Brown
- Shaun A Bryson
- Morgan Durham Burks
- Hannah Elizabeth Burnette
- Connie A Burns
- Quentin Brice Butterfield
All providers in Black Mountain, NC · Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.