Colten Briar Sullivan, DPT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

P18599 Issued in NC

Practice address

1019 Broad St
Durham, NC 27705-4143

Phone

(919) 797-9588

NPI assigned

Feb 25, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bull City Physical TherapyGroup PAC ID 8022438563, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Bull City Physical Therapy

  • Physical Medicine & Rehabilitation Physician
  • Durham, NC
  • NPI 1235749060
  Medicare reassignment Care Compare group NPD Authorized official
• Acupuncture and Chiropractic Care Center Inc.

  • Chiropractor
  • Durham, NC
  • NPI 1740760248
  NPD

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

{
    "created_epoch": "1551052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1306303458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 BROAD ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277054143",
            "telephone_number": "919-797-9588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 BROAD ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277054143",
            "telephone_number": "919-797-9588"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5832 Fayetteville Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277136291",
            "country_code": "US",
            "telephone_number": "919-410-8840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "COLTEN",
        "middle_name": "BRIAR",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-25",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NC",
            "license": "P18599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "P18599",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kulkaew Sukniam, DO
• Lina Suleiman, PHARMD
• Gary Sulioti, MD
• Rebecca Sullenger
• Brian Sullivan, MD, MHS
• Daniel Carl Sullivan, M.D.
• Elizabeth Sullivan, MD
• Jacquelyn Marie Sullivan, NURSE PRACTITIONER
• Jasmine Danielle Sullivan, DNP, FNP-BC
• Jennifer Anne Sullivan, MS, CGC

• Physical Medicine & Rehabilitation Physician in Durham, NC
• Providers in Durham, NC by specialty
• Physical Medicine & Rehabilitation Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.