Active NPI
Julian C Brantley III, MD
- General Practice Physician
- Wilson, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 21455
- Practice address
- 303 Green St E
Wilson, NC 27893-4105 - Phone
- (252) 243-9800
- Fax
- (252) 243-9888
- NPI assigned
- Sep 21, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 21455 | NC | |
| General Practice Physician | 208D00000X | 21455 | NC | Primary |
Addresses
Primary practice location
303 Green St E
Wilson, NC 27893-4105
Mailing address
303 Green St E
Wilson, NC 27893-4105
Phone (252) 293-0013
Other practice location 1
132 Foy Drive
Rocky Mount, NC 27804
Phone (252) 443-6622
Other practice location 2
8250 Nc 58 S
Elm City, NC 27822-8079
Phone (252) 443-7744
Other practice location 3
162 NC 33 East
Tarboro, NC 27886
Phone (252) 641-0514
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17984 | Other | NC | BLUE CROSS BLUE SHIELD |
| 160030995 | Other | NC | MEDICARE RAILROAD |
| 8917984 | Medicaid | NC |
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
- General Practice
- Education
- University of North Carolina at Chapel Hill School of Medicine, 1970
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Nash Medical Arts Mall
Rocky Mount, NC 27804-1400
Phone (252) 962-4325
8250 S NC
Suite 58
Elm City, NC 27822-8079
Phone (252) 443-7744
Hospital & facility affiliations
- Healthview Home Health & Hospice, LLC
- Unc Health Nash
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 388 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7537 | NC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Family Health Centers, Inc | Current | Accepting new patients | |
| Carolina Family Health Centers, Inc | Current | Accepting new patients | |
| Carolina Family Health Centers, Inc | Current | Accepting new patients | |
| Carolina Wound Care Specialists, PLLC | Current | Accepting new patients | |
| Carolina Family Health Centers, Inc | Current | Accepting new patients | |
| NHCS Physicians Inc | Past | Accepting new patients |
Locations
425 Huehl Rd
Bldg 8
Northbrook, IL 60062
Phone (847) 754-4780
8250 NC 58 S
Elm City, NC 27822
Phone (252) 443-7744
2460 Curtis Ellis Dr
Ste 101
Rocky Mount, NC 27804
Phone (252) 962-4290
101 Nash Medical Arts Mall
Rocky Mount, NC 27804
Phone (252) 451-6950
162 NC Highway 33 E
Tarboro, NC 27886
Phone (252) 641-0514
303 Green St E
Wilson, NC 27893
Phone (252) 243-9800
Interoperability endpoints
- jbrantley298149@direct.ochin.org
- jbrantley129764@direct.unc.nchie.net
Organizations & group practices 6
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.
-
- Federally Qualified Health Center (FQHC)
- Wilson, NC
- NPI 1184792103
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Rocky Mount, NC
- NPI 1942445762
-
- Federally Qualified Health Center (FQHC)
- Elm City, NC
- NPI 1417427642
-
- Federally Qualified Health Center (FQHC)
- Wilson, NC
- NPI 1518440734
-
- Federally Qualified Health Center (FQHC)
- Tarboro, NC
- NPI 1770651655
-
- Cardiovascular Disease Physician
- Rocky Mount, NC
- NPI 1801252275
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Rocky Mount, NC
- NPI 1811470289
-
- General Acute Care Hospital
- Rocky Mount, NC
- NPI 1619969219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720137600000",
"number": "1225136104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 GREEN ST E",
"city": "WILSON",
"state": "NC",
"postal_code": "278934105",
"telephone_number": "252-293-0013",
"fax_number": "252-243-2576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 GREEN ST E",
"city": "WILSON",
"state": "NC",
"postal_code": "278934105",
"telephone_number": "252-243-9800",
"fax_number": "252-243-9888"
}
],
"practiceLocations": [
{
"address_1": "132 Foy Drive",
"address_purpose": "LOCATION",
"city": "Rocky Mount",
"state": "NC",
"postal_code": "27804",
"country_code": "US",
"telephone_number": "252-443-6622",
"fax_number": "252-443-6404",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8250 Nc 58 S",
"address_purpose": "LOCATION",
"city": "Elm City",
"state": "NC",
"postal_code": "278228079",
"country_code": "US",
"telephone_number": "252-443-7744",
"fax_number": "252-443-7611",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "162 NC 33 East",
"address_purpose": "LOCATION",
"city": "TARBORO",
"state": "NC",
"postal_code": "27886",
"country_code": "US",
"telephone_number": "252-641-0514",
"fax_number": "252-641-1668",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRANTLEY",
"first_name": "JULIAN",
"middle_name": "C",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2024-07-05",
"certification_date": "2024-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NC",
"license": "21455",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NC",
"license": "21455",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "17984",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "160030995",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8917984",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilson, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; 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.