Jack Marvin McBride Jr., M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

30068 Issued in NC

Practice address

5025A Old Clinic
Campus Box 7550
Chapel Hill, NC 27599-7550

Phone

(919) 843-4096

Fax

(919) 962-9795

NPI assigned

Dec 4, 2007

Last updated

Mar 31, 2021By 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

Other identifiers 1

Electronic endpoints 1

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

Specialty

Geriatric MedicineAlso: Family Practice, Internal Medicine

Education

Duke University School of Medicine, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Cedars of Chapel Hill Club IncGroup PAC ID 8224012000, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• The Arbor Nursing home, Pittsboro, NC, CCN 345539

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jmcbride12331@direct.unc.nchie.net

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• The Cedars of Chapel Hill Club, Inc

  • Skilled Nursing Facility
  • Chapel Hill, NC
  • NPI 1225019359

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

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.

• The Cedars of Chapel Hill Club, Inc.

  dba The Cedars of Chapel Hill Wellness Clinic

  • Health Service Clinic/Center
  • Chapel Hill, NC
  • NPI 1417073412
  Medicare reassignment Care Compare group NPD
• The Cedars of Chapel Hill Club, Inc

  • Skilled Nursing Facility
  • Chapel Hill, NC
  • NPI 1225019359
  NPD
• University of North Carolina at Chapel Hill

  dba UNC Faculty Physicians

  • Anesthesiology Physician
  • Chapel Hill, NC
  • NPI 1780669200

  Family Medicine

  NPD
• University of North Carolina at Chapel Hill

  dba UNC Neurosurgery at South Boston

  • Neurological Surgery Physician
  • South Boston, VA
  • NPI 1407308703
  NPD
• Inspiris Medical Services of New Jersey PC

  • Specialist
  • Basking Ridge, NJ
  • NPI 1558657148
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Galloway Ridge, Inc.

  dba The Duke Center for Liveing

  • Skilled Nursing Facility
  • Pittsboro, NC
  • NPI 1922032820

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1518149228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5025A OLD CLINIC",
            "address_2": "CAMPUS BOX 7550",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997550",
            "telephone_number": "919-843-4096",
            "fax_number": "919-962-9795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5025A OLD CLINIC",
            "address_2": "CAMPUS BOX 7550",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997550",
            "telephone_number": "919-843-4096",
            "fax_number": "919-962-9795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBRIDE",
        "first_name": "JACK",
        "middle_name": "MARVIN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-04",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "30068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8955609",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmcbride12331@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "5025A Old Clinic",
            "address_2": "Campus Box 7550",
            "city": "Chapel Hill",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275997550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lois E McAlpine, LCSW
• Sarah Grace McAlpine
• Maire Brighid McAnaw, PT
• Ellen McAngus, M.S.W., L.C.S.W.A.
• Mary K McBrearty
• Corey McCabe, PA-C
• Gaea Annice McCaig, PA
• Lathan William McCall, M.D.
• Laura Fleenor McCall, AU.D.
• Justin D McCallen, MD

• Family Medicine Physician in Chapel Hill, NC
• Providers in Chapel Hill, 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 Mar 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.