Individual provider Active NPI

Brandon Chase Barnette, FNP

  • Family Medicine Physician
  • Winston Salem, NC
National Provider Identifier
1669026456
Registry record updated Jul 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
BARN-54G31I Issued in NC
Practice address
1825 Denise LN
Winston Salem, NC 27127-8850
Phone
(336) 407-8931
NPI assigned
Jul 30, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X BARN-54G31I NC Primary

Addresses

Primary practice location

1825 Denise LN
Winston Salem, NC 27127-8850

Mailing address

1825 Denise LN
Winston Salem, NC 27127-8850
Phone (336) 407-8931

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
I20200109000143 NC Order and Referring Only - Nurse Practitioner 3678908225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
BARN-54G31INCMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1564444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564444800000",
    "number": "1669026456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 DENISE LN",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271278850",
            "telephone_number": "336-407-8931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 DENISE LN",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271278850",
            "telephone_number": "336-407-8931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNETTE",
        "first_name": "BRANDON",
        "middle_name": "CHASE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-30",
        "last_updated": "2019-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "BARN-54G31I",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.