Theodore George Brna Jr., M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

38590 Issued in NC

Practice address

6321 Deans St
Bailey, NC 27807-8641

Phone

(252) 235-4181

Fax

(252) 235-2950

NPI assigned

Sep 9, 2005

Last updated

May 8, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bailey Family Practice Center, P.a.

  dba family medical practice

  • Primary Care Clinic/Center
  • Bailey, NC
  • NPI 1528037959
  Authorized official Same address or phone

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210204800000",
    "number": "1477547016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6321 DEANS ST",
            "address_2": "P. O. BOX 280",
            "city": "BAILEY",
            "state": "NC",
            "postal_code": "278078641",
            "telephone_number": "252-235-4181",
            "fax_number": "252-235-2950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6321 DEANS ST",
            "city": "BAILEY",
            "state": "NC",
            "postal_code": "278078641",
            "telephone_number": "252-235-4181",
            "fax_number": "252-235-2950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRNA",
        "first_name": "THEODORE",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2008-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "38590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bowden Enterprise Services, LLC
• Bowden Enterprise Services, LLC
• Bowden Enterprise Services, LLC
• Bowden Enterprise Services, LLC
• Tiffany C. L. Bowden
• Sonya Simmons Bullock, PA-C
• Cornerstone Community Support Services, Inc.
• Kelly P Day, CCC-SLP
• Divinity Healthcare Services, Inc
• DLP Wilson Physician Practices LLC (Bailey Primary Care)

• Family Medicine Physician in Bailey, NC
• Providers in Bailey, 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 May 8, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.