Brunswick Urgent Care

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BRUNSWICK URGENT CARE

Practice address

509 Olde Waterford Way
Suite 101
Leland, NC 28451

Phone

(910) 383-2182

NPI assigned

Jul 3, 2006

Last updated

Nov 13, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Azzato, MD

Title

President

Phone

(910) 383-2182

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226534400000",
    "number": "1124057740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601790",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282601790",
            "telephone_number": "910-383-2182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 OLDE WATERFORD WAY",
            "address_2": "SUITE 101",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "28451",
            "telephone_number": "910-383-2182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUNSWICK URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2008-11-13",
        "status": "A",
        "authorized_official_last_name": "AZZATO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-383-2182",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5902466",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "DF1254",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Marie Brannin
• Thomas J Braza, MD
• Meghan Luisa Dalziel Brooks, O.D.
• Kelly M Broussard, DPT
• Brunswick Surgery Center LLC
• Eric Christopher Bryant, OD
• James M Buchanan Jr., DDS
• Kelli Lee Buell
• Mary Elizabeth Burgoyne, MD
• Teal Thayer Busteed, PT

• Family Medicine Physician in Leland, NC
• Providers in Leland, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.