Active NPI
Colleen Megan Brandsema, PHARMD
- Pharmacist
- Burlington, NC
National Provider Identifier
1124380274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 22435
- Practice address
- 1909 N Church St
Burlington, NC 27217-2926 - Phone
- (336) 227-5506
- NPI assigned
- Jun 14, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 22435 | NC | Primary |
Addresses
Primary practice location
1909 N Church St
Burlington, NC 27217-2926
Mailing address
1704 Oak Tree Dr
Chapel Hill, NC 27517-4061
Phone (336) 491-4212
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22435 | NC | MD | Pain Medicine (Anesthesiology) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339632000000",
"number": "1124380274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1704 OAK TREE DR",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275174061",
"telephone_number": "336-491-4212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1909 N CHURCH ST",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272172926",
"telephone_number": "336-227-5506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANDSEMA",
"first_name": "COLLEEN",
"middle_name": "MEGAN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-14",
"last_updated": "2012-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "22435",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burlington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.