Active NPI
Natalie Carroll Beasley Brantley
- Reproductive Endocrinology Physician
- Raleigh, NC
National Provider Identifier
1609588797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reproductive Endocrinology Physician
- License
- 5017374
- Practice address
- 2601 Lake Dr Ste 301
Raleigh, NC 27607-6689 - Phone
- (919) 782-5911
- Fax
- (919) 861-6400
- NPI assigned
- Dec 20, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Reproductive Endocrinology Physician | 207VE0102X | 5017374 | NC | Primary |
Addresses
Primary practice location
2601 Lake Dr Ste 301
Raleigh, NC 27607-6689
Mailing address
411 New Hope Church Rd
Turkey, NC 28393-9193
Phone (910) 271-0892
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5017374 | NC | MD | Reproductive Endocrinology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Conceptions, PA | Reproductive Endocrinology | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Reproductive Endocrinology Physician
- Raleigh, NC
- NPI 1790802106
Reproductive Endocrinology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671494400000",
"number": "1609588797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 NEW HOPE CHURCH RD",
"city": "TURKEY",
"state": "NC",
"postal_code": "283939193",
"telephone_number": "910-271-0892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 LAKE DR STE 301",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276076689",
"telephone_number": "919-782-5911",
"fax_number": "919-861-6400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANTLEY",
"first_name": "NATALIE",
"middle_name": "CARROLL BEASLEY",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-20",
"last_updated": "2022-12-20",
"certification_date": "2022-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "NC",
"license": "5017374",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.