Individual provider Active NPI

Bradley Carlyle Jones, FNP

  • Primary Care Nurse Practitioner
  • Greenville, NC
National Provider Identifier
1568155018
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
295924 Issued in NC
Practice address
800 Moye Blvd Ste a
Greenville, NC 27834-4169
Phone
(252) 752-7133
NPI assigned
May 31, 2023
Last updated
May 31, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 295924 NC Primary

Addresses

Primary practice location

800 Moye Blvd Ste a
Greenville, NC 27834-4169

Mailing address

800 Moye Blvd Ste a
Greenville, NC 27834-4169
Phone (252) 752-7133

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240323000003 NC Practitioner - Nurse Practitioner 1658718846 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Georgetown University School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greenville Family Doctors, PAGroup PAC ID 2365348927, 3 clinicians

Practice addresses (Care Compare)

800 Moye Blvd
Suite a
Greenville, NC 27834-4169
Phone 25275271332008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Greenville Family Doctors, PA CurrentSince Feb 1, 2024 Accepting new patients

Locations

800 Moye Blvd
Ste A
Greenville, NC 27834
Phone (252) 752-7133

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1685491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1568155018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MOYE BLVD STE A",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278344169",
            "telephone_number": "252-752-7133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MOYE BLVD STE A",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278344169",
            "telephone_number": "252-752-7133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "BRADLEY",
        "middle_name": "CARLYLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-31",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NC",
            "license": "295924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.