Active NPI
Richard J Brannin, PT
- Physical Therapist
- Wilmington, NC
National Provider Identifier
1154412948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0001571
- Practice address
- 1202 Medical Center Drive
Wilmington, NC 28401 - Phone
- (910) 341-3300
- Fax
- (910) 251-8834
- NPI assigned
- Sep 27, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 0001571 | WV | Primary |
Addresses
Primary practice location
1202 Medical Center Drive
Wilmington, NC 28401
Mailing address
1202 Medical Center Dr
Wilmington, NC 28401-7307
Phone (910) 341-3300
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001571 | WV | MD | Physical Therapist |
| 001571 | WV | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Chiropractic PLLC | Past | Accepting new patients | |
| Advanced Physical Therapy, PLLC | Physical Therapist | Past | Accepting new patients |
| Wilmington Health PLLC | Physical Therapist | Past | Accepting new patients |
| Elk Valley Health & Wellness | Past | Accepting new patients |
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.
-
- Multi-Specialty Clinic/Center
- Wilmington, NC
- NPI 1881632339
Physical Therapist
-
- Physical Therapist
- Charleston, WV
- NPI 1538236104
-
- Acupuncturist
- Charleston, WV
- NPI 1366548950
-
- Chiropractor
- Scott Depot, WV
- NPI 1790085488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407196800000",
"number": "1154412948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1202 MEDICAL CENTER DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017307",
"telephone_number": "910-341-3300",
"fax_number": "910-341-3321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1202 MEDICAL CENTER DRIVE",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "28401",
"telephone_number": "910-341-3300",
"fax_number": "910-251-8834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANNIN",
"first_name": "RICHARD",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2014-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WV",
"license": "0001571",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.