NPIMap

Organization Active NPI

North Carolina Physician Network, Inc.

Doing business as Brunswick Women's Center

  • Obstetrics & Gynecology Physician
  • Supply, NC
National Provider Identifier
1528058963
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
NORTH CAROLINA PHYSICIAN NETWORK, INC.
Doing business as
Brunswick Women's Center
Practice address
14 Doctors Cir
Suite 5
Supply, NC 28462-4088
Phone
(910) 754-9166
Fax
(910) 754-2972
NPI assigned
Oct 26, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Patrick Birmingham
Title
Director
Phone
(615) 373-7625

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X NU Primary

Addresses

Primary practice location

14 Doctors Cir
Suite 5
Supply, NC 28462-4088

Mailing address

14 Doctors Cir
Suite 5
Supply, NC 28462-4088
Phone (910) 754-9166

Other identifiers 1

IdentifierTypeStateIssuer
89012E8MedicaidNC

Other names 1

  • Brunswick Women's Center Doing business as

National Provider Directory

National Provider Directory

Locations

12 Medical Center Dr
Supply, NC 28462
Phone (910) 754-9166

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528058963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 DOCTORS CIR",
            "address_2": "SUITE 5",
            "city": "SUPPLY",
            "state": "NC",
            "postal_code": "284624088",
            "telephone_number": "910-754-9166",
            "fax_number": "910-754-2972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 DOCTORS CIR",
            "address_2": "SUITE 5",
            "city": "SUPPLY",
            "state": "NC",
            "postal_code": "284624088",
            "telephone_number": "910-754-9166",
            "fax_number": "910-754-2972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CAROLINA PHYSICIAN NETWORK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BIRMINGHAM",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "615-373-7625",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89012E8",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brunswick Women's Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Supply, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.