Individual provider Active NPI

Julian C Brantley III, MD

  • General Practice Physician
  • Wilson, NC
National Provider Identifier
1225136104
Registry record updated Jul 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
21455 Issued in NC
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

Updated by the provider on Jul 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
17984OtherNCBLUE CROSS BLUE SHIELD
160030995OtherNCMEDICARE RAILROAD
8917984MedicaidNC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100831000164 NC Practitioner - General PracticePractitioner - Obstetrics/Gynecology 8921142274 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Obstetrics/Gynecology
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
Carolina Wound Care Specialists PLLCGroup PAC ID 6204990799, 5 clinicians
Carolina Family Health Centers, Inc.Group PAC ID 6800841107, 29 clinicians

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 Home health agency, Rocky Mount, NC, CCN 347056
  • Unc Health Nash Hospital, Rocky Mount, NC, CCN 340147

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue388
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
7537NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Family Health Centers, Inc CurrentSince Jul 3, 2018 Accepting new patients
Carolina Family Health Centers, Inc Current Accepting new patients
Carolina Family Health Centers, Inc CurrentSince Jul 3, 2018 Accepting new patients
Carolina Wound Care Specialists, PLLC CurrentSince Jul 1, 2018 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

  • Direct secure messaging: jbrantley298149@direct.ochin.org
  • Direct secure messaging: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.