Individual provider Active NPI

Brittany Marshburn, PA-C

  • Physician Assistant
  • Wilson, NC
National Provider Identifier
1417370644
Registry record updated May 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-04788 Issued in NC
Practice address
3302 Nash St N
Wilson, NC 27896-1232
Phone
(252) 237-5237
Fax
(252) 234-9932
NPI assigned
Jan 23, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-04788 NC Primary

Addresses

Primary practice location

3302 Nash St N
Wilson, NC 27896-1232

Mailing address

3302 Nash St N
Wilson, NC 27896-1232
Phone (252) 237-5237

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140326001111 NC Practitioner - Physician Assistant 3274764758 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Comprehensive Rehab of Wilson, Inc.Group PAC ID 2668377375, 115 clinicians
Wilson Medical Group, PLLCGroup PAC ID 9638142490, 7 clinicians

Practice addresses (Care Compare)

1811 Forest Hills Rd W
Wilson, NC 27893-3412
Phone (252) 243-7400

3302 Nash St N
Wilson, NC 27896-1232
Phone (252) 237-5237

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Greenville, NC, CCN 347031
  • Wilson Medical Center Hospital, Wilson, NC, CCN 340126

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0010-04788NCMDPhysician Assistant

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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": "1390435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462838400000",
    "number": "1417370644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3302 NASH ST N",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278961232",
            "telephone_number": "252-237-5237",
            "fax_number": "252-234-9932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3302 NASH ST N",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278961232",
            "telephone_number": "252-237-5237",
            "fax_number": "252-234-9932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHBURN",
        "first_name": "BRITTANY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-23",
        "last_updated": "2016-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-04788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

Verify at the official NPI Registry.