Active NPI
Brian Conrad Brimmage, MD
- Obstetrics & Gynecology Physician
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 2017-00703
- Practice address
- 4414 Lake Boone TRL Ste 405
Raleigh, NC 27607 - Phone
- (919) 876-8225
- NPI assigned
- Jun 5, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 191913 | NC | |
| Obstetrics & Gynecology Physician | 207V00000X | 2017-00703 | NC | Primary |
Addresses
Primary practice location
4414 Lake Boone TRL Ste 405
Raleigh, NC 27607
Mailing address
4414 Lake Boone TRL Ste 405
Raleigh, NC 27607-7520
Phone (919) 876-8225
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of Texas Medical School at Houston, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11009 Ingleside PL
Suite 301
Raleigh, NC 27614-8577
Phone (919) 876-8225
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.25 of 100
- Quality
- 82.32
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.52
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017-00703 | NC | MD | Obstetrics & Gynecology Physician |
| 191913 | NC | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Obhg North Carolina, P.C. | Single Specialty | Current | Accepting new patients |
| Uwh of the Carolinas, PLLC | Single Specialty | Current | Accepting new patients |
| Raleigh OB/GYN Centre, PA | Single Specialty | Past | Accepting new patients |
| Whap, PA | Single Specialty | Past | Accepting new patients |
Locations
1900 Kildaire Farm Rd
Cary, NC 27518
Phone (919) 350-2300
4414 Lake Boone Trl
Ste 309
Raleigh, NC 27607
Phone (919) 232-6896
4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034
11009 Ingleside Pl
Ste 301
Raleigh, NC 27614
Phone (919) 876-8225
4414 Lake Boone Trl
Ste 405
Raleigh, NC 27607
Phone (919) 876-8225
1806 S Hawthorne Rd
Winston Salem, NC 27103
Phone (336) 768-3632
Interoperability endpoints
- https://api.platform.athenahealth.com/7773/brand/51/csg/541/fhir/r4
- brian.brimmage.1@7773.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Obstetrics & Gynecology Physician
- Morrisville, NC
- NPI 1639506470
Single Specialty
-
- Obstetrics & Gynecology Physician
- Charlotte, NC
- NPI 1124300876
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529452800000",
"number": "1134567787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4414 LAKE BOONE TRL STE 405",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276077520",
"telephone_number": "919-876-8225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4414 LAKE BOONE TRL STE 405",
"city": "RALEIGH",
"state": "NC",
"postal_code": "27607",
"telephone_number": "919-876-8225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIMMAGE",
"first_name": "BRIAN",
"middle_name": "CONRAD",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-06-05",
"last_updated": "2018-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NC",
"license": "191913",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "NC",
"license": "2017-00703",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.