Organization Active NPI

Carolina Oncology Assoc PA

  • Specialist
  • Salisbury, NC
National Provider Identifier
1508828286
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0000S Issued in NC
Legal business name
CAROLINA ONCOLOGY ASSOC PA
Practice address
825 W Henderson St
Salisbury, NC 28144-2725
Phone
(704) 636-5542
Fax
(855) 662-2141
NPI assigned
Apr 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
William McCall Brinkley Jr., M.D.
Title
Physician
Phone
(704) 636-5542

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 0000S NC Primary

Addresses

Primary practice location

825 W Henderson St
Salisbury, NC 28144-2725

Mailing address

825 W Henderson St
Salisbury, NC 28144-2725
Phone (704) 636-5542

Other identifiers 2

IdentifierTypeStateIssuer
890298PMedicaidNC
CI5592OtherNCRRMEDICARE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1508828286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 W HENDERSON ST",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281442725",
            "telephone_number": "704-636-5542",
            "fax_number": "855-662-2141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 W HENDERSON ST",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281442725",
            "telephone_number": "704-636-5542",
            "fax_number": "855-662-2141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA ONCOLOGY ASSOC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BRINKLEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "MCCALL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "704-636-5542",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": "0000S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890298P",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMEDICARE",
            "identifier": "CI5592",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.