Individual provider Active NPI

Brad Marshburn, PHARMD

  • Pharmacist
  • Raleigh, NC
National Provider Identifier
1659606556
Registry record updated Jun 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
14923 Issued in NC
Practice address
815 Oberlin Rd
Raleigh, NC 27605-1300
Phone
(919) 322-4726
Fax
(919) 322-4728
NPI assigned
Oct 9, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 14923 NC Primary

Addresses

Primary practice location

815 Oberlin Rd
Raleigh, NC 27605-1300

Mailing address

815 Oberlin Rd
Raleigh, NC 27605-1300
Phone (919) 322-4726

Other practice location 1

11201 Durant Road
Raleigh, NC 27614
Phone (919) 518-0514

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
14923NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co PastSince Apr 10, 2022 Accepting new patients
Walgreen Co Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1255046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1659606556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 OBERLIN RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276051300",
            "telephone_number": "919-322-4726",
            "fax_number": "919-322-4728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 OBERLIN RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276051300",
            "telephone_number": "919-322-4726",
            "fax_number": "919-322-4728"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11201 Durant Road",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "27614",
            "country_code": "US",
            "telephone_number": "919-518-0514",
            "fax_number": "919-518-0981",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSHBURN",
        "first_name": "BRAD",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-09",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "14923",
            "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 Jun 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.