North Mecklenburg Family Practice Group PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

NC18523 Issued in NC

Legal business name

NORTH MECKLENBURG FAMILY PRACTICE GROUP PA

Practice address

6111 Rumple Rd
Charlotte, NC 28262

Phone

(704) 596-5067

Fax

(704) 599-9458

NPI assigned

Sep 26, 2006

Organization subpart

No

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

Authorized official

Name

Jerome Howard, MD

Title

MD President

Phone

(704) 596-5067

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey W. Bragg, D.O.

  • Family Medicine Physician
  • Marion, IN
  • NPI 1518937697
  NPD

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278633600000",
    "number": "1225139660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6111 RUMPLE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28262",
            "telephone_number": "704-596-5067",
            "fax_number": "704-599-9458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6111 RUMPLE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28262",
            "telephone_number": "704-596-5067",
            "fax_number": "704-599-9458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH MECKLENBURG FAMILY PRACTICE GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2010-07-09",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "JEROME",
        "authorized_official_title_or_position": "MD PRESIDENT",
        "authorized_official_telephone_number": "704-596-5067",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "NC18523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "44170",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• North Charlotte Family Medicine PLLC
• North Charlotte Medical Specialists
• North Charlotte Pediatrics PLLC
• North Cross Medical Center PC
• North Karlovassi Enterprises, PC (TEAM CBT of Charlotte)
• Elizabeth Amacker North, M.S.
• Northcross Health Maintenance P.C
• Northcross Medical Center, P.C.
• Northcross Obstetric and Gynecologic Associates
• Northcutt Chiropractic, PC

• Family Medicine Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2010; 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.