Individual provider Active NPI

Bryan Kevin Harrell, D.O,

  • General Practice Physician
  • Cherry Point, NC
National Provider Identifier
1144450255
Registry record updated Feb 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
065003 Issued in GA
Practice address
PSC Box 8023
BLDG 4389
Cherry Point, NC 28533-0023
Phone
(252) 466-3956
NPI assigned
Jul 23, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 065003 GA Primary

Addresses

Primary practice location

PSC Box 8023
BLDG 4389
Cherry Point, NC 28533-0023

Mailing address

PSC Box 8023 BLDG 4389
Cherry Point, NC 28533
Phone (252) 466-3956

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)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
065003GAMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393286400000",
    "number": "1144450255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PSC BOX 8023 BLDG 4389",
            "city": "CHERRY POINT",
            "state": "NC",
            "postal_code": "28533",
            "telephone_number": "252-466-3956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PSC BOX 8023",
            "address_2": "BLDG 4389",
            "city": "CHERRY POINT",
            "state": "NC",
            "postal_code": "285330023",
            "telephone_number": "252-466-3956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRELL",
        "first_name": "BRYAN",
        "middle_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "D.O,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-23",
        "last_updated": "2014-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "GA",
            "license": "065003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2014; 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.