Active NPI
James Michael Bramble, MA LPA HSP
- Psychologist
- New Bern, NC
National Provider Identifier
1174584015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 565
- Practice address
- 2002 S Glenburnie Rd
Unit D-5
New Bern, NC 28562-5229 - Phone
- (252) 638-8249
- Fax
- (252) 638-8248
- NPI assigned
- Mar 30, 2006
- Last updated
- Oct 31, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 565 | NC | Primary |
Addresses
Primary practice location
2002 S Glenburnie Rd
Unit D-5
New Bern, NC 28562-5229
Mailing address
1822 S Glenburnie Rd Ste 6
PMB 147
New Bern, NC 28562-5221
Phone (252) 638-8249
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1353R | Other | NC | BC |
| 6107262 | Medicaid | NC | |
| 192726 | Other | NC | MEDCOST |
| 795356000 | Other | NC | MAGELLAN |
| 204836986 | Other | NC | TRICARE |
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 565 | NC | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320019200000",
"number": "1174584015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1822 S GLENBURNIE RD STE 6",
"address_2": "PMB 147",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285625221",
"telephone_number": "252-638-8249",
"fax_number": "252-638-8248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2002 S GLENBURNIE RD",
"address_2": "UNIT D-5",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285625229",
"telephone_number": "252-638-8249",
"fax_number": "252-638-8248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAMBLE",
"first_name": "JAMES",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "MA LPA HSP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-30",
"last_updated": "2011-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "565",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC",
"identifier": "1353R",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6107262",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "192726",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "795356000",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "204836986",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Bern, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.