NPIMap

Individual provider Active NPI

Bree Tharpe Fleck, NURSE PRACTITIONER

  • Nurse Practitioner
  • Winston Salem, NC
National Provider Identifier
1356854657
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5010044 Issued in NC
Practice address
140 Charlois Blvd
Winston Salem, NC 27103-1522
Phone
(336) 716-4131
Fax
(336) 713-0328
NPI assigned
Nov 8, 2017
Last updated
Jan 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5010044 NC Primary
Family Nurse Practitioner 363LF0000X 5010044 NC

Addresses

Primary practice location

140 Charlois Blvd
Winston Salem, NC 27103-1522

Mailing address

100 Kimel Forest Dr
Winston Salem, NC 27103-6074
Phone (336) 716-0238

Other practice location 1

509 N Elam Ave Fl 2
Greensboro, NC 27403-1157
Phone (336) 274-1114

Other names 1

  • Bree Tharpe Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180111000139 NC Practitioner - Nurse Practitioner 8426317876 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

200 Johnson Ridge Medical Park
Elkin, NC 28621-2443
Phone (336) 526-0040

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5010044NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hugh Chatham Memorial Hospital Inc CurrentSince Mar 12, 2024 Accepting new patients
Hugh Chatham Memorial Hospital, Inc CurrentSince Mar 12, 2024 Accepting new patients
Urology Specialists of the Carolinas PLLC CurrentSince Dec 4, 2017 Accepting new patients
Hugh Chatham Memorial Hospital, Inc. Current Accepting new patients
Hugh Chatham Memorial Hospital, Inc Past Accepting new patients

Locations

200 Johnson Ridge Medical Park
Elkin, NC 28621
Phone (336) 526-0040

360 Parkwood Medical Park
Elkin, NC 28621
Phone (336) 527-5960

509 N Elam Ave
Fl 2
Greensboro, NC 27403
Phone (336) 274-1114

Interoperability endpoints

  • Direct secure messaging: bfleck@yvu.gwaydirect.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1510099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1356854657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KIMEL FOREST DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036074",
            "telephone_number": "336-716-0238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 CHARLOIS BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031522",
            "telephone_number": "336-716-4131",
            "fax_number": "336-713-0328"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "509 N Elam Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274031157",
            "country_code": "US",
            "telephone_number": "336-274-1114",
            "fax_number": "336-274-9638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLECK",
        "first_name": "BREE",
        "middle_name": "THARPE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-08",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5010044",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5010044",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BREE",
            "last_name": "THARPE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.