Active NPI
Bradley James Yount, PA-C
- Medical Physician Assistant
- Greenville, NC
National Provider Identifier
1669490280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 102901
- Practice address
- 2577 W 5TH St
Greenville, NC 27834-7813 - Phone
- (252) 830-3426
- Fax
- (252) 830-8585
- NPI assigned
- Jul 18, 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 102901 | NC | Primary |
Addresses
Primary practice location
2577 W 5TH St
Greenville, NC 27834-7813
Mailing address
2577 West Fifth Street
Greenville, NC 27834
Phone (252) 830-3426
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669490280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2577 WEST FIFTH STREET",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "27834",
"telephone_number": "252-830-3426",
"fax_number": "252-830-8585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2577 W 5TH ST",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278347813",
"telephone_number": "252-830-3426",
"fax_number": "252-830-8585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNT",
"first_name": "BRADLEY",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NC",
"license": "102901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.