Brevard Academy

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

BREVARD ACADEMY

Practice address

1110 Highway 64
Pisgah Forest, NC 28768

Phone

(828) 885-2665

NPI assigned

Aug 30, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Nicholas Iosue

Title

Chairman of the Board of Directors

Phone

(828) 885-2665

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472515200000",
    "number": "1396291282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 HIGHWAY 64",
            "city": "PISGAH FOREST",
            "state": "NC",
            "postal_code": "28768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 HIGHWAY 64",
            "city": "PISGAH FOREST",
            "state": "NC",
            "postal_code": "28768",
            "telephone_number": "828-885-2665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREVARD ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-30",
        "last_updated": "2016-08-30",
        "status": "A",
        "authorized_official_last_name": "IOSUE",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "CHAIRMAN OF THE BOARD OF DIRECTORS",
        "authorized_official_telephone_number": "828-885-2665",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rebecca Lynne Baumann, LMBT#12288
• Zayliah Bazel
• Lauren Jean Borgersen, PHARMD, RPH
• Jessica Rae Brookshire
• Madeline Adger Bryant, LCSW
• Megan Elizabeth Day, PT
• Meaghan Dolan, LPCA
• Jaime Lyn Dulberg, LCMHCA

• Local Education Agency (LEA) in Pisgah Forest, NC
• Providers in Pisgah Forest, NC by specialty
• Local Education Agency (LEA) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; 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.