Individual provider Active NPI

Jem Scott-Emuakpor McBride, DVM

  • Medical Research Veterinarian
  • Durham, NC
National Provider Identifier
1346570017
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Research VeterinarianTaxonomy code 174MM1900X
License
5054 Issued in NC
Practice address
508 Fulton St
BLDG. 14
Durham, NC 27705-3875
Phone
(919) 286-0411
NPI assigned
Jan 1, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Veterinarian 174M00000X 5054 NC
Medical Research Veterinarian 174MM1900X 5054 NC Primary

Addresses

Primary practice location

508 Fulton St
BLDG. 14
Durham, NC 27705-3875

Mailing address

508 Fulton St
BLDG. 14
Durham, NC 27705-3875
Phone (919) 286-0411

Other identifiers 2

IdentifierTypeStateIssuer
5054OtherNCNORTH CAROLINA VETERINARY MEDICAL BOARD
29898OtherUSDA/APHIS

Other names 1

  • Dr. Jem Scott-Emuakpor Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5054NCMDProsthodontist

NPI Registry JSON

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

{
    "created_epoch": "1262304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1346570017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 FULTON ST",
            "address_2": "BLDG. 14",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277053875",
            "telephone_number": "919-286-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 FULTON ST",
            "address_2": "BLDG. 14",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277053875",
            "telephone_number": "919-286-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBRIDE",
        "first_name": "JEM",
        "middle_name": "SCOTT-EMUAKPOR",
        "name_prefix": "Dr.",
        "credential": "DVM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-01",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "NC",
            "license": "5054",
            "primary": false
        },
        {
            "code": "174MM1900X",
            "taxonomy_group": "",
            "desc": "Veterinarian, Medical Research",
            "state": "NC",
            "license": "5054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA VETERINARY MEDICAL BOARD",
            "identifier": "5054",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USDA/APHIS",
            "identifier": "29898",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEM",
            "last_name": "SCOTT-EMUAKPOR",
            "prefix": "DR.",
            "credential": "DVM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; 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.