Active NPI
Phillip Marvin Brame Sr., DDS MS BOARD CERTIFI
- Orthodontics and Dentofacial Orthopedics Dentistry
- North Wilkesboro, NC
National Provider Identifier
1659482024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 3987
- Practice address
- 1419 West D St
North Wilkesboro, NC 28659-1367 - Phone
- (336) 667-1254
- Fax
- (336) 667-1255
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 3987 | NC | Primary |
Addresses
Primary practice location
1419 West D St
North Wilkesboro, NC 28659-1367
Mailing address
PO Box 1367
1419 West D St
North Wilkesboro, NC 28659-1367
Phone (336) 667-1254
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8991034 | Medicaid | NC |
Other names 1
- Dr. Phillip Marvin Brame
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
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phillip Marvin Brame DDS Ms PA | Orthodontics and Dentofacial Orthopedics | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- North Wilkesboro, NC
- NPI 1750563342
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226880000000",
"number": "1659482024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1367",
"address_2": "1419 WEST D ST",
"city": "NORTH WILKESBORO",
"state": "NC",
"postal_code": "286591367",
"telephone_number": "336-667-1254",
"fax_number": "336-667-1255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1419 WEST D ST",
"city": "NORTH WILKESBORO",
"state": "NC",
"postal_code": "286591367",
"telephone_number": "336-667-1254",
"fax_number": "336-667-1255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAME",
"first_name": "PHILLIP",
"middle_name": "MARVIN",
"name_prefix": "Dr.",
"name_suffix": "Sr.",
"credential": "DDS MS BOARD CERTIFI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2008-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NC",
"license": "3987",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8991034",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PHILLIP",
"last_name": "BRAME",
"middle_name": "MARVIN",
"prefix": "DR.",
"credential": "DDS MS PA",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in North Wilkesboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.