Trinity OBGYN PLLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

9801163 Issued in NC

Legal business name

TRINITY OBGYN PLLC

Practice address

398 Copperfield Blvd NE
Concord, NC 28025-2402

Phone

(704) 262-3338

NPI assigned

Jan 17, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Brittian Wood Beaver, MDNPI 1740241892

Title

President

Phone

(704) 262-3338

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brittian Wood Beaver, MD

  • Obstetrics & Gynecology Physician
  • Concord, NC
  • NPI 1740241892
  Medicare reassignment NPD Authorized official
• David Fremd Klein, M.D.

  • Plastic Surgery Physician
  • Concord, NC
  • NPI 1336327428
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1516147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1114435724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "398 COPPERFIELD BLVD NE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252402",
            "telephone_number": "704-262-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "398 COPPERFIELD BLVD NE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252402",
            "telephone_number": "704-262-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY OBGYN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-17",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "BEAVER",
        "authorized_official_first_name": "BRITTIAN",
        "authorized_official_middle_name": "WOOD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-262-3338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "9801163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luis Gerardo Trejo, PHARMD
• Margie H Trent, PAC
• Pamela M Trent
• Russell Alexander Michael Trigonis, MD
• Trinity Family Dentistry
• Trion Transport LLC
• Laura Kathryn Davis Troutman, FNP
• Sarah Fitzgerald Troutman, LCSWA
• Amanda Troy, MS, CCC-SLP
• Maeghan Moss Troyer, PHARMD

• Obstetrics & Gynecology Physician in Concord, NC
• Providers in Concord, NC by specialty
• Obstetrics & Gynecology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.