Individual provider Active NPI

Jon Philip Brisley, MD

  • Ophthalmology Physician
  • Chapel Hill, NC
National Provider Identifier
1356345615
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
2021-01672 Issued in NC
Practice address
2226 Nelson Hwy Ste 200
Chapel Hill, NC 27517-9638
Phone
(984) 974-2020
NPI assigned
Jun 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 0101047807 VA
Ophthalmology Physician 207W00000X 2021-01672 NC Primary

Addresses

Primary practice location

2226 Nelson Hwy Ste 200
Chapel Hill, NC 27517-9638

Mailing address

5221 Paramount Pkwy Ste 420
Morrisville, NC 27560-5491

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jbrisley221081@direct.UNC.nchie.net Direct

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220524002029 NC Practitioner - Ophthalmology 8325017064 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of North Carolina at Chapel Hill School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5221 Paramount Pkwy
Suite 420
Morrisville, NC 27560-4704

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2021-01672NCMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of North Carolina at Chapel Hill Ophthalmology CurrentSince Jul 11, 2022 Accepting new patients
Park Ophthalmology Ophthalmology Past Accepting new patients
University of North Carolina Hospitals at Chapel Hill Past Accepting new patients

Locations

115 Kildaire Park Dr
Ste 101
Cary, NC 27518
Phone (919) 387-3180

2226 Nelson Hwy
Ste 200
Chapel Hill, NC 27517
Phone (984) 974-2020

2226 Nelson Hwy
Chapel Hill, NC 27517
Phone (919) 945-0393

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

460 Waterstone Dr
Hillsborough, NC 27278
Phone (984) 215-2444

781 Avent Ferry Rd
Ste 202
Holly Springs, NC 27540
Phone (984) 974-4040

5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533

6512 Six Forks Rd
Ste 105
Raleigh, NC 27615
Phone (919) 846-6915

Organizations & group practices 3

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": "1117670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1356345615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5221 PARAMOUNT PKWY STE 420",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275605491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2226 NELSON HWY STE 200",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275179638",
            "telephone_number": "984-974-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRISLEY",
        "first_name": "JON",
        "middle_name": "PHILIP",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-02",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101047807",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "2021-01672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbrisley221081@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "2226 Nelson Hwy Ste 200",
            "city": "Chapel Hill",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275179638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.