Active NPI
Barry W Minor, CP
- Prosthetist
- Fayetteville, NC
National Provider Identifier
1457612871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- License
- LP. 75
- Practice address
- 4140 Ferncreek Dr
Suite 803
Fayetteville, NC 28314-2563 - Phone
- (910) 483-5737
- Fax
- (910) 483-2327
- NPI assigned
- Jun 1, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetist | 224P00000X | LP. 75 | OH | Primary |
Addresses
Primary practice location
4140 Ferncreek Dr
Suite 803
Fayetteville, NC 28314-2563
Mailing address
4140 Ferncreek Dr
Suite 803
Fayetteville, NC 28314-2563
Phone (910) 483-5737
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP. 75 | OH | MD | Prosthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Brace & Limb | Prosthetist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338508800000",
"number": "1457612871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4140 FERNCREEK DR",
"address_2": "SUITE 803",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283142563",
"telephone_number": "910-483-5737",
"fax_number": "910-483-2327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4140 FERNCREEK DR",
"address_2": "SUITE 803",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283142563",
"telephone_number": "910-483-5737",
"fax_number": "910-483-2327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINOR",
"first_name": "BARRY",
"middle_name": "W",
"name_prefix": "Mr.",
"credential": "CP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-01",
"last_updated": "2012-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "OH",
"license": "LP. 75",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.