Madeline Gautreaux Brence, PHYSICIAN ASSISTANT
Individual provider Active NPI Physician Assistant · Clemmons, NC
NPI 1427807635 · NPPES record last updated May 20, 2024
Key facts
- NPI
- 1427807635
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 3215 Turnstone CT
Clemmons, NC 27012-8585 - Phone
- (336) 529-0443
- NPI assigned
- May 18, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidzcare Pediatrics, PC | Past | Accepting new patients | |
| Kidzcare Pediatrics, PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
3215 Turnstone CT
Clemmons, NC 27012-8585
Mailing address
3215 Turnstone CT
Clemmons, NC 27012-8585
Phone (336) 529-0443
Other providers in Clemmons, NC
- Margo Born
- Leslie Jean Boucherle
- Marianna Bowen
- Catherine R Bradford
- Sukhdev Singh Brar
- Rachel Hannah Bretz
- Brianna Alexis Brigman
- Jessica Rena Brinkley-McNair
- Wendy Dawn Broadstreet
- Stacy Brooks
All providers in Clemmons, NC · Physician Assistant in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.