Individual provider Active NPI

Brooke Elizabeth Livingston, DO

  • Family Medicine Physician
  • New Bern, NC
National Provider Identifier
1487141073
Registry record updated Aug 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2021-00906 Issued in NC
Practice address
3252 Wellons Blvd
New Bern, NC 28562-5234
Phone
(252) 636-2664
Fax
(252) 636-8305
NPI assigned
Apr 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2021-00906 NC Primary

Addresses

Primary practice location

3252 Wellons Blvd
New Bern, NC 28562-5234

Mailing address

PO Box 12248
New Bern, NC 28561-2248
Phone (252) 636-2664

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210625001417 NC Practitioner - Family Practice 1850648684 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Edward Via Col of Osteo Medicine-Carolinas Campus, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Coastal Carolina Health Care PAGroup PAC ID 9739087693, 122 clinicians
Broad River RehabilitationGroup PAC ID 3375801350, 210 clinicians

Practice addresses (Care Compare)

1020 Medical Park Ave
New Bern, NC 28562-5248
Phone (252) 634-2240

9120 Willow Ridge Rd
Charlotte, NC 28210-8313
Phone 82877452220027

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2021-00906NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Carolina Health Care PA Family Medicine Current Accepting new patients
Coastal Carolina Health Care PA Current Accepting new patients
Coastal Carolina Health Care PA Family Medicine CurrentSince Jul 28, 2021 Accepting new patients

Locations

1040 Medical Park Ave
New Bern, NC 28562
Phone (252) 633-1678

1020 Medical Park Ave
New Bern, NC 28562
Phone (252) 514-6685

1010 Lathan Ln
New Bern, NC 28562
Phone (252) 672-0224

3252 Wellons Blvd
New Bern, NC 28562
Phone (252) 636-2664

Interoperability endpoints

  • Direct secure messaging: blivingston27061@coastalcarolinahealthcenter.gardenplot.direct-ci.com

Organizations & group practices 4

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 2

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": "1524009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629504000000",
    "number": "1487141073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12248",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285612248",
            "telephone_number": "252-636-2664",
            "fax_number": "252-636-8305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3252 WELLONS BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625234",
            "telephone_number": "252-636-2664",
            "fax_number": "252-636-8305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVINGSTON",
        "first_name": "BROOKE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-18",
        "last_updated": "2021-08-21",
        "certification_date": "2021-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2021-00906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

Verify at the official NPI Registry.