Individual provider Active NPI

Beverly J Redmann, MD

  • Psychiatry Physician
  • Carrboro, NC
National Provider Identifier
1336228642
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
39672 Issued in NC
Practice address
200 W Weaver St
Suite 3
Carrboro, NC 27510-6009
Phone
(919) 928-0132
Fax
(919) 928-0314
NPI assigned
Nov 6, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 39672 NC Primary

Addresses

Primary practice location

200 W Weaver St
Suite 3
Carrboro, NC 27510-6009

Mailing address

200 W Weaver St
Suite 3
Carrboro, NC 27510-6009
Phone (919) 928-0132

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 15, 2016 through Apr 15, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
39672NCMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336228642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W WEAVER ST",
            "address_2": "SUITE 3",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275106009",
            "telephone_number": "919-928-0132",
            "fax_number": "919-928-0314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W WEAVER ST",
            "address_2": "SUITE 3",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275106009",
            "telephone_number": "919-928-0132",
            "fax_number": "919-928-0314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDMANN",
        "first_name": "BEVERLY",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "39672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrboro, NC

Sources for this page

Verify at the official NPI Registry.