NPIMap

Individual provider Active NPI

Noel Brown, MD

  • Dermatology Physician
  • Wilmington, NC
National Provider Identifier
1376658583
Registry record updated Nov 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
22551 Issued in NC
Practice address
2421 Silver Stream Lane
Wilmington, NC 28401-0000
Phone
(910) 395-3477
Fax
(910) 815-3479
NPI assigned
Aug 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 22551 NC Primary

Addresses

Primary practice location

2421 Silver Stream Lane
Wilmington, NC 28401-0000

Mailing address

2421 Silver Stream Lane
Wilmington, NC 28401-0000
Phone (910) 395-3477

Other identifiers 3

IdentifierTypeStateIssuer
8919145MedicaidNC
P00052969OtherNCRAILROAD MEDICARE
19145OtherNCBCBS NC

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)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Wilmington Health PLLC PastSince Jan 1, 1990 Accepting new patients
Wilmington Health PLLC PastSince Jan 1, 1990 Accepting new patients
Wilmington Health PLLC PastSince Jan 1, 1990 Accepting new patients
Wilmington Health PLLC PastSince Jan 1, 1990 Accepting new patients
Wilmington Health PLLC PastSince Jan 1, 1990 Accepting new patients
Wilmington Health PLLC PastSince Jan 1, 1990 Accepting new patients
Wilmington Health PLLC Dermatology PastSince Jan 1, 1990 Accepting new patients
Carolina Internal Medicine of Asheboro Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/56847
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 8

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": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225843200000",
    "number": "1376658583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2421 SILVER STREAM LANE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284010000",
            "telephone_number": "910-395-3477",
            "fax_number": "910-815-3479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 SILVER STREAM LANE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284010000",
            "telephone_number": "910-395-3477",
            "fax_number": "910-815-3479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "NOEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2008-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "22551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8919145",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00052969",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "19145",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; 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.