Greensboro Cardiology Associates PA

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

GREENSBORO CARDIOLOGY ASSOCIATES PA

Practice address

1002 N Church St
Suite 103
Greensboro, NC 27401-1439

Phone

(336) 272-6133

NPI assigned

Jan 22, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thomas Andrew Brackbill, M.D.NPI 1619031614

Title

President

Phone

(336) 272-6133

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas Andrew Brackbill, M.D.

  • Cardiovascular Disease Physician
  • Greensboro, NC
  • NPI 1619031614
  Authorized official Same address or phone
• Stanley Neal Tennant, M.D.

  • Cardiovascular Disease Physician
  • Greensboro, NC
  • NPI 1134276413
  NPD (past)

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255485819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 N CHURCH ST",
            "address_2": "SUITE 103",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011439",
            "telephone_number": "336-272-6133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 N CHURCH ST",
            "address_2": "SUITE 103",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011439",
            "telephone_number": "336-272-6133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENSBORO CARDIOLOGY ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRACKBILL",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-272-6133",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "02645",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8902645",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney Pangle Greenough, MSN, RNC-NIC, NNP-BC
• Greensboro Adult and Adolescent Internal Medicine PA
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• Greensboro Anesthesia Physicians,PC
• Greensboro BG Opco LLC (Richland Place)
• Greensboro Cerebral Palsy Association
• Greensboro Cerebral Palsy Association
• Greensboro Children's Clinic, PA
• Greensboro Children's Doctor, PA
• Greensboro Chiropractic Inc

• Cardiovascular Disease Physician in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Cardiovascular Disease Physician in North Carolina

• 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.