Individual provider Active NPI

Buck Andrew Braden, D.O.

  • Psychiatry Physician
  • Burlington, NC
National Provider Identifier
1124345988
Registry record updated Nov 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
00372 Issued in NC
Practice address
2732 Ann Elizabeth Dr
Burlington, NC 27215-6650
Phone
(336) 251-4200
Fax
(336) 513-4203
NPI assigned
May 3, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X OS13007 FL
Psychiatry Physician 2084P0800X 00372 NC Primary

Addresses

Primary practice location

2732 Ann Elizabeth Dr
Burlington, NC 27215-6650

Mailing address

2732 Ann Elizabeth Dr
Burlington, NC 27215-6650
Phone (336) 513-4200

Other practice location 1

109 W Becker Dr
Roanoke Rapids, NC 27870-4800
Phone (252) 537-6619

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171009001749 NC Practitioner - Psychiatry 4082833058 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Arizona College of Osteopathic Medicine Mid Western University, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rha Behavioral Health NC LLCGroup PAC ID 4688948656, 20 clinicians

Practice addresses (Care Compare)

963 Kirkpatrick Rd
Burlington, NC 27215-8911
Phone (336) 229-5905

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS13007FLMDPsychiatry Physician
00372NCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rha Health Services Inc Current Accepting new patients
Rha Health Services, Inc CurrentSince Aug 28, 2017 Accepting new patients
Rha Health Services Inc CurrentSince Aug 28, 2017 Accepting new patients
Rha Behavioral Health NC LLC CurrentSince Jun 1, 2018 Accepting new patients
Rha Behavioral Health NC LLC Current Accepting new patients
Rha Behavioral Health NC LLC CurrentSince Jun 1, 2018 Accepting new patients

Locations

211 Perimeter Center Pkwy NE
Ste 750
Atlanta, GA 30346

356 Biltmore Ave
Asheville, NC 28801
Phone (828) 252-0190

2732 Ann Elizabeth Dr
Burlington, NC 27215
Phone (336) 227-5050

211 S Centennial St
High Point, NC 27260
Phone (336) 841-0143

1405A S Glenburnie Rd
New Bern, NC 28562
Phone (252) 638-7875

109 W Becker Dr
Roanoke Rapids, NC 27870
Phone (252) 365-4337

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1272844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1124345988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2732 ANN ELIZABETH DR",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272156650",
            "telephone_number": "336-513-4200",
            "fax_number": "336-513-4203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2732 ANN ELIZABETH DR",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272156650",
            "telephone_number": "336-251-4200",
            "fax_number": "336-513-4203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 W Becker Dr",
            "address_purpose": "LOCATION",
            "city": "Roanoke Rapids",
            "state": "NC",
            "postal_code": "278704800",
            "country_code": "US",
            "telephone_number": "252-537-6619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADEN",
        "first_name": "BUCK",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-03",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "OS13007",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "00372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

Verify at the official NPI Registry.