Enc Peds PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

ENC PEDS PLLC

Practice address

222B Virginia Rd
Edenton, NC 27932-9667

Phone

(252) 484-9024

Fax

(252) 404-8424

NPI assigned

Jul 20, 2022

Last updated

May 9, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ian Luke Bryan, MDNPI 1639525231

Title

Ceo

Phone

(252) 484-9024

Specialties & licenses 1

Addresses

Electronic endpoints 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• Direct secure messaging: encpeds@direct.practicefusion.com

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ian Luke Bryan, M.D.

  • Pediatrics Physician
  • Edenton, NC
  • NPI 1639525231
  NPD Authorized official

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

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683590400000",
    "number": "1518692797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222B VIRGINIA RD",
            "city": "EDENTON",
            "state": "NC",
            "postal_code": "279329667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222B VIRGINIA RD",
            "city": "EDENTON",
            "state": "NC",
            "postal_code": "279329667",
            "telephone_number": "252-484-9024",
            "fax_number": "252-404-8424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENC PEDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-20",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A",
        "authorized_official_last_name": "BRYAN",
        "authorized_official_first_name": "IAN",
        "authorized_official_middle_name": "LUKE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "252-484-9024",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "encpeds@direct.practicefusion.com",
            "affiliation": "N",
            "endpointDescription": "Office Email",
            "address_1": "18 Old Fish Hatchery Rd",
            "city": "Edenton",
            "state": "NC",
            "country_code": "US",
            "postal_code": "279321640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Sarah Elliott
• Lori Lichtenwalner English, LPC
• Traci Etheridge
• Eye Care of Edenton, O.D., PLLC (Eye Care of Edenton)
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• Rachel Elizabeth Ferrell, FNP-C

• Primary Care Clinic/Center in Edenton, NC
• Providers in Edenton, NC by specialty
• Primary Care Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.