Brent L Perkins, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

100328 Issued in NC

Practice address

10195 Beach Dr SW # 5
Calabash, NC 28467-2701

Phone

(910) 575-6538

Fax

(910) 575-6541

NPI assigned

Aug 2, 2006

Sex

Male

Sole proprietor

No

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.

• Calabash Primary Care LLC

  • Family Medicine Physician
  • Calabash, NC
  • NPI 1528139987
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 2, 2008.

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209686400000",
    "number": "1124035928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4238",
            "city": "CALABASH",
            "state": "NC",
            "postal_code": "284679820",
            "telephone_number": "910-575-6538",
            "fax_number": "910-575-6541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10195 BEACH DR SW # 5",
            "city": "CALABASH",
            "state": "NC",
            "postal_code": "284672701",
            "telephone_number": "910-575-6538",
            "fax_number": "910-575-6541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "BRENT",
        "middle_name": "L",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2008-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "100328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00395334",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela C Neves, LPC
• New Option Inc.
• North Carolina CVS Pharmacy LLC
• Vanessa Norton, NP
• Meagan Nichole Parker
• Pierpointe Mental Health PLLC
• PL Loomis, DC Inc.
• Rachel Ann Policke, PT, DPT
• Connor David Price, OTR/L
• Publix North Carolina LP

• All providers in Calabash, NC
• Medical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; 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.