Brunswick Community College Interagency Program

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

MHL-010-001 Issued in NC

Legal business name

BRUNSWICK COMMUNITY COLLEGE INTERAGENCY PROGRAM

Practice address

50 College Road
Supply, NC 28462-0030

Phone

(910) 755-7374

Fax

(910) 755-7493

NPI assigned

Feb 20, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gregorry Bland

Title

Director

Phone

(910) 755-7374

Specialties & licenses 1

Addresses

Tax ID family

Brunswick Community College Interagency Program2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Brunswick Community College Interagency Program

  • Developmentally Disabled Services Day Training Agency
  • Bolivia, NC
  • NPI 1689014748
  NPD tax ID

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376688259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30",
            "city": "SUPPLY",
            "state": "NC",
            "postal_code": "284620030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 COLLEGE ROAD",
            "city": "SUPPLY",
            "state": "NC",
            "postal_code": "284620030",
            "telephone_number": "910-755-7374",
            "fax_number": "910-755-7493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUNSWICK COMMUNITY COLLEGE INTERAGENCY PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLAND",
        "authorized_official_first_name": "GREGORRY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "910-755-7374"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NC",
            "license": "MHL-010-001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tonya Renee Brock, BSW, DS
• Kusanya Amice Brooks, PMHNP
• Benjamin Bryan Browning, MD
• Hannah Jo Browning
• Brunswick Cardiology (Brunswick Cardiology,PC)
• Brunswick Foot & Ankle Surgery
• Brunswick OB-GYN, P.a.
• Brunswick Physical Therapy
• Brunswick Physical Therapy LLC
• Brunswick Surgical Associates, PLLC

• Case Management Agency in Supply, NC
• Providers in Supply, NC by specialty
• Case Management Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.