Brevard Orthopaedics, PA
Organization Active NPI Specialist · Brevard, NC
NPI 1528063120 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1528063120
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- Legal business name
- BREVARD ORTHOPAEDICS, PA
- Practice address
- 316 Chestnut St
Ste. 2
Brevard, NC 28712-3010 - Phone
- (828) 884-2055
- Fax
- (828) 884-2834
- NPI assigned
- Jun 20, 2005
- Organization subpart
- No
Authorized official
- Name
- Ms. Amy J Good
- Title
- Office Manager
- Phone
- (828) 884-2055
Practitioners 2
National Provider Directory
Locations
830 Executive Ln
Ste 120
Rockledge, FL 32955
Phone (321) 394-8000
34 Granby St
Asheville, NC 28801
Phone (828) 225-0861
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | Yes |
Addresses
Primary practice location
316 Chestnut St
Ste. 2
Brevard, NC 28712-3010
Mailing address
316 Chestnut St
Ste. 2
Brevard, NC 28712-3010
Phone (828) 884-2055
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89016T3 | Medicaid | NC | |
| 016T3 | Other | NC | BCBS OF NC GROUP NUMBER |
Other providers in Brevard, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.