Brent Jamison McKecuen

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Practice address

417 S Hughes Blvd
Elizabeth City, NC 27909-4526

Phone

(252) 339-1922

NPI assigned

Oct 16, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Albemarle Medical Transport Inc.

  • Land Ambulance
  • Elizabeth City, NC
  • NPI 1184495822

  Land Transport

  NPD Authorized official

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1285416206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 DANCES BAY RD",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279099172",
            "telephone_number": "252-339-1922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 S HUGHES BLVD",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279094526",
            "telephone_number": "252-339-1922"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 Dances Bay Rd",
            "address_purpose": "LOCATION",
            "city": "Elizabeth City",
            "state": "NC",
            "postal_code": "279099172",
            "country_code": "US",
            "telephone_number": "252-339-1922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKECUEN",
        "first_name": "BRENT",
        "middle_name": "JAMISON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-16",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Traniqua McCullen
• Michael K McDavit, MD
• Patrick James McDermott, DMD
• Catherine Ann McGrogan, PHD
• Rebekkah Cratty McGronan, FNP-C
• Mary Alyce McKendree, N.P.
• Cammie Jane McMahan, PHARMD
• Carly Rose McMahan, DNP
• Denita McMurrin
• Eric David McNaughton, CRNA

• Land Ambulance in Elizabeth City, NC
• Providers in Elizabeth City, NC by specialty
• Land Ambulance in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.