Kofi Bruce Mensah, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01429 Issued in NC

Practice address

851 Durham Road
Suite D
Wake Forest, NC 27587-8793

Phone

(919) 554-0900

Fax

(336) 784-1116

NPI assigned

Dec 5, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Triangle Primary Care Associates, PLLCGroup PAC ID 3173422557, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Well Care Home Health, Inc Home health agency, Raleigh, NC, CCN 347192

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: kofi.bruce-mensah.1@27648.direct.athenahealth.com

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.

• Triangle Primary Care Associates, PLLC

  • General Practice Physician
  • Wake Forest, NC
  • NPI 1801850250
  Medicare reassignment Care Compare group Authorized official
• Epmg of Virginia P C

  • Emergency Medical Services (Emergency Medicine) Physician
  • Blacksburg, VA
  • NPI 1972545531
  NPD (past)
• St. Luke'S Princeton LLC

  • General Acute Care Hospital
  • Bluefield, WV
  • NPI 1265486583
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Well Care Home Health of the Triangle

  • Home Health Agency
  • Raleigh, NC
  • NPI 1811998990
  Care Compare affiliation

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408060800000",
    "number": "1457335242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 DURHAM ROAD",
            "address_2": "SUITE D",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275878793",
            "telephone_number": "919-554-0900",
            "fax_number": "336-784-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 DURHAM ROAD",
            "address_2": "SUITE D",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275878793",
            "telephone_number": "919-554-0900",
            "fax_number": "336-784-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCE MENSAH",
        "first_name": "KOFI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2014-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "01429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE IND",
            "identifier": "P00247762",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "2333540",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR GROUP",
            "identifier": "DD7390",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891301P",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Brown, OTR/L
• Jennifer L Brown, MS, OTR/L
• Lauren Brown
• Tiffany Richardson Brown
• Tracey R Browning, LMFTA
• Anita Michelle Bryant, LCAS, CADC
• Ashley Bryant, PMHNP-BC
• Karenmarie Bryant, LCAS
• Manuel Evangelos Bulauitan, M.D.
• Steven James Bumgarner, DDS

• Family Medicine Physician in Wake Forest, NC
• Providers in Wake Forest, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.