Individual provider Active NPI

Vondra Brimage, DO

  • Family Medicine Physician
  • Greensboro, NC
National Provider Identifier
1568082873
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2023-00645 Issued in NC
Practice address
1125 N Church St
Greensboro, NC 27401-1007
Phone
(336) 832-8468
NPI assigned
Apr 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 2023-00645 NC Primary

Addresses

Primary practice location

1125 N Church St
Greensboro, NC 27401-1007

Mailing address

1125 N Church St
Greensboro, NC 27401-1007
Phone (252) 412-3395

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230530003281 NC Practitioner - Family Practice 3375900798 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Edward Via Col of Osteo Medicine-Carolinas Campus, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Moses H Cone Memorial Hospital Operating CorporationGroup PAC ID 6204744600, 724 clinicians
Moses Cone Physician Services, IncGroup PAC ID 4284782210, 397 clinicians
Alamance Regional Medical Center IncGroup PAC ID 5294647145, 71 clinicians

Practice addresses (Care Compare)

1123 N Church St
Greensboro, NC 27401-1007
Phone (336) 832-4400

1127 N Church St
Greensboro, NC 27401-1007
Phone (336) 832-7100

1200 N Elm St
Greensboro, NC 27401-1004
Phone (336) 832-4380

3940 Arrowhead Blvd
Suite 110
Mebane, NC 27302-7637
Phone (919) 568-7300

4524 W Wendover Ave
Suite 110
Greensboro, NC 27409-9184
Phone (336) 890-3320

501 N Elam Ave
Greensboro, NC 27403-1118
Phone (336) 832-1000

509 E N Elam Ave
FL 3
Greensboro, NC 27403-1118
Phone (336) 832-1970

Hospital & facility affiliations

  • Alamance Regional Medical Center Hospital, Burlington, NC, CCN 340070
  • Moses H. Cone Memorial Hospital, the Hospital, Greensboro, NC, CCN 340091

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2023-00645NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alamance Regional Medical Center, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Moses Cone Physician Services, Inc. Family Medicine Current Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation Current Accepting new patients
Alamance Regional Medical Center, Inc CurrentSince Jul 1, 2023 Accepting new patients
Moses Cone Physician Services Inc CurrentSince Dec 1, 2023 Accepting new patients

Locations

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

509 N Elam Ave
Fl 3
Greensboro, NC 27403
Phone (336) 832-1970

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

1123 N Church St
Greensboro, NC 27401
Phone (336) 832-4400

3711 Elmsley St
Ste 102
Greensboro, NC 27406
Phone (336) 890-2200

3940 Arrowhead Blvd
Ste 110
Mebane, NC 27302
Phone 9195687300 ext. 91956

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1587081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1568082873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 N CHURCH ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011007",
            "telephone_number": "252-412-3395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 N CHURCH ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011007",
            "telephone_number": "336-832-8468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIMAGE",
        "first_name": "VONDRA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-17",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2023-00645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.