Organization Active NPI

Brian D Allen MD PLLC

  • Surgery Physician
  • Albemarle, NC
National Provider Identifier
1225251796
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
9600324 Issued in NC
Legal business name
BRIAN D ALLEN MD PLLC
Practice address
923 North Second Street
Suite 205
Albemarle, NC 28001-3370
Phone
(704) 982-1399
Fax
(704) 982-1510
NPI assigned
Apr 11, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Brian D Allen, MD
Title
Owner
Phone
(704) 982-1399

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 9600324 NC Primary

Addresses

Primary practice location

923 North Second Street
Suite 205
Albemarle, NC 28001-3370

Mailing address

923 North Second St
Suite 205
Albemarle, NC 28001-3370
Phone (704) 982-1399

Other identifiers 2

IdentifierTypeStateIssuer
8910678MedicaidNC
10678OtherNCBCBS

National Provider Directory

National Provider Directory

Locations

923 N 2nd St
Ste 205
Albemarle, NC 28001
Phone (704) 982-0648

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225251796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 NORTH SECOND ST",
            "address_2": "SUITE 205",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280013370",
            "telephone_number": "704-982-1399",
            "fax_number": "704-982-1510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 NORTH SECOND STREET",
            "address_2": "SUITE 205",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280013370",
            "telephone_number": "704-982-1399",
            "fax_number": "704-982-1510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN D ALLEN MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-982-1399",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "9600324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8910678",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "10678",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albemarle, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.