Individual provider Active NPI

Beverly Ann Brown, NP-FNP

  • Family Nurse Practitioner
  • Greensboro, NC
National Provider Identifier
1326338302
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5005128 Issued in NC
Practice address
3808 W Gate City Blvd # A1
Greensboro, NC 27407-4713
Phone
(336) 518-7008
NPI assigned
Apr 12, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5005128 NC Primary

Addresses

Primary practice location

3808 W Gate City Blvd # A1
Greensboro, NC 27407-4713

Mailing address

3808 W Gate City Blvd # A1
Greensboro, NC 27407-4713
Phone (336) 518-7008

Other practice location 1

1593 Yanceyville St Ste 200
Greensboro, NC 27405-6950
Phone (336) 230-0402 ext. 205

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110726000806 NC Practitioner - Nurse Practitioner 2567630155 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians
Osh Mi Physicians Group, PCGroup PAC ID 7810282191, 154 clinicians

Practice addresses (Care Compare)

2600 Compass Rd
Glenview, IL 60026-8001

3250 Freedom Dr
Charlotte, NC 28208-2817
Phone (704) 709-6009

3808 W Gate City Blvd
A1
Greensboro, NC 27407-4713
Phone (336) 518-7008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5005128NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Osh Mi Physicians Group, PC CurrentSince Oct 24, 2022 Accepting new patients
CW Brown Home Care, LLC Current Accepting new patients
Osh-Mi Physicians Group PC Family CurrentSince Oct 24, 2022 Accepting new patients

Locations

3250 Freedom Dr
Charlotte, NC 28208
Phone (704) 394-0118

3808 W Gate City Blvd
Ste A1
Greensboro, NC 27407
Phone (336) 518-7008

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1302566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1326338302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3808 W GATE CITY BLVD # A1",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274074713",
            "telephone_number": "336-518-7008",
            "fax_number": "336-450-1761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3808 W GATE CITY BLVD # A1",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274074713",
            "telephone_number": "336-518-7008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1593 Yanceyville St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274056950",
            "country_code": "US",
            "telephone_number": "336-230-0402 x205",
            "fax_number": "336-230-1761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "BEVERLY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "NP-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-12",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5005128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.