Brianna Nicole Bumgarner, OTR/L
Individual provider Active NPI Occupational Therapist · Mocksville, NC
NPI 1578301511 · NPPES record last updated Jul 15, 2024
Key facts
- NPI
- 1578301511
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 16663 (NC)
- Practice address
- 498 Madison Rd
Mocksville, NC 27028-4249 - Phone
- (336) 751-3535
- NPI assigned
- Jul 15, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16663 | NC | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 16663 | NC | Yes |
Addresses
Primary practice location
498 Madison Rd
Mocksville, NC 27028-4249
Mailing address
498 Madison Rd
Mocksville, NC 27028-4249
Phone (336) 751-3535
Other providers in Mocksville, NC
- Leigh Michelle Bryant
- BT Heart and Vascular Center, PLLC
- Sara Buchanan
- Dalton Buckman
- Octavia Buggs
- Suzanne Lorraine Bussell
- Byers Enterprises, LLC
- Charles Brandon Byers
- Tishekka N Cain
- Jason A. Caputo
All providers in Mocksville, NC · Occupational Therapist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2024. 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.