Individual provider Active NPI

Vivian Buhrman, LCSW

  • Clinical Social Worker
  • Durham, NC
National Provider Identifier
1255431763
Registry record updated Aug 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C003935 Issued in NC
Practice address
112 Swift Ave
Durham, NC 27705-4883
Phone
(919) 435-9193
Fax
(984) 377-4342
NPI assigned
Sep 24, 2006
Last updated
Aug 29, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C003935 NC Primary

Addresses

Primary practice location

112 Swift Ave
Durham, NC 27705-4883

Mailing address

503 Parkview Dr
Durham, NC 27712-2743
Phone (919) 435-2087

Other identifiers 1

IdentifierTypeStateIssuer
6003460MedicaidNC

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040505000822 NC Practitioner - Clinical Social Worker 1052309218 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

112 Swift Ave
Durham, NC 27705-4883
Phone (919) 435-2087

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vivian Buhrman LCSW PLLC Clinical CurrentSince Jan 1, 2016 Accepting new patients
Mindpath Care Centers, North Carolina, PLLC Clinical PastSince Jun 18, 2013 Accepting new patients

Locations

112 Swift Ave
Durham, NC 27705
Phone (919) 416-9656

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567036800000",
    "number": "1255431763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 PARKVIEW DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277122743",
            "telephone_number": "919-435-2087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 SWIFT AVE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277054883",
            "telephone_number": "919-435-9193",
            "fax_number": "984-377-4342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUHRMAN",
        "first_name": "VIVIAN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-24",
        "last_updated": "2019-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C003935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6003460",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.