Amy G. E. Brantley, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-01096 Issued in NC

Practice address

2706 Medical Office PL
Goldsboro, NC 27534-9460

Phone

(919) 734-4736

NPI assigned

Oct 23, 2007

Last updated

Mar 31, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: abrantley@goldsboropediatrics.opdirect.net
• Direct secure messaging: abrantley@goldsboropeds.medentdirect.com

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.

• Goldsboro Pediatrics PA

  • Pediatrics Physician
  • Goldsboro, NC
  • NPI 1427125269
  NPD (past)
• Goldsboro Pediatrics PA

  • Rural Health Clinic/Center
  • Princeton, NC
  • NPI 1437927662
  NPD (past)
• Goldsboro Pediatrics PA

  • Rural Health Clinic/Center
  • La Grange, NC
  • NPI 1497523625
  NPD (past)
• Goldsboro Pediatrics PA

  • Rural Health Clinic/Center
  • Mount Olive, NC
  • NPI 1659149896
  NPD (past)

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1508055872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4117 N ROXBORO ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042121",
            "telephone_number": "919-684-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2706 MEDICAL OFFICE PL",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275349460",
            "telephone_number": "919-734-4736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANTLEY",
        "first_name": "AMY",
        "middle_name": "G. E.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-23",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-01096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "abrantley@goldsboropediatrics.opdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "2706 Medical Office Pl",
            "city": "Goldsboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275349460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christopher D. Boyle
• Heather B Bradshaw, LCSW
• Martha Ray Bradshaw, RNC,NP
• Bharat Mahendra Brahmbhatt, M.D.
• Pamela Dawn Branson, FNP-C
• Philip K Brantly, DDS
• Breath of Life, Inc.
• Anissa Sheree Breland, DNP, CRNA
• Brenda a. Taylor
• Bradley C Brenton, M.D.

• Physician Assistant in Goldsboro, NC
• Providers in Goldsboro, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.