NPIMap

Individual provider Active NPI

John Thomas Labruyere, PA-C

  • Physician Assistant
  • Fletcher, NC
National Provider Identifier
1255851499
Registry record updated May 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-07414 Issued in NC
Practice address
1542 Cane Creek Rd
Fletcher, NC 28732
Phone
(828) 628-8250
NPI assigned
Jun 20, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-07414 NC Primary

Addresses

Primary practice location

1542 Cane Creek Rd
Fletcher, NC 28732

Mailing address

119 Hendersonville Rd
Asheville, NC 28803-2868
Phone (828) 257-4730

Other identifiers 1

IdentifierTypeStateIssuer
1255851499MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170913000662 NC Practitioner - Physician Assistant 8325311335 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hopscotch Primary Care PLLCGroup PAC ID 7911173380, 47 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

15 Yorkshire St
Suite 201
Asheville, NC 28803-7785
Phone (828) 203-2661

55 Piney Mountain Dr
Asheville, NC 28805-1297
Phone (828) 252-1915

6 Brooklet St
Asheville, NC 28801-4505
Phone (828) 250-0898

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
48.91 of 100Reported as group
Quality
0
Promoting interoperability
95
Improvement activities
0
Cost
77.85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-07414NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Raleigh Durham Medical Group PA Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: johnlabruyere@mahec.allscriptsdirect.net
  • Direct secure messaging: john.labruyere.1@26812.direct.athenahealth.com

Organizations & group practices 3

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 7

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": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527724800000",
    "number": "1255851499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 HENDERSONVILLE RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288032868",
            "telephone_number": "828-257-4730",
            "fax_number": "828-257-4738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1542 CANE CREEK RD",
            "city": "FLETCHER",
            "state": "NC",
            "postal_code": "28732",
            "telephone_number": "828-628-8250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABRUYERE",
        "first_name": "JOHN",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-20",
        "last_updated": "2018-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-07414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255851499",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fletcher, NC

Sources for this page

Verify at the official NPI Registry.