Active NPI
Bronwyn Blair Gamon, MS LPC
- Counselor
- New Bern, NC
National Provider Identifier
1679771737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 7312
- Practice address
- 517 Blades Ave
New Bern, NC 28560-3101 - Phone
- (252) 638-4033
- NPI assigned
- Jul 10, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Counselor | 101Y00000X | 7312 | NC | Primary |
Addresses
Primary practice location
517 Blades Ave
New Bern, NC 28560-3101
Mailing address
517 Blades Ave
New Bern, NC 28560-3101
Phone (252) 638-4033
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7312 | NC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237939200000",
"number": "1679771737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "517 BLADES AVE",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285603101",
"telephone_number": "252-638-4033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "517 BLADES AVE",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285603101",
"telephone_number": "252-638-4033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAMON",
"first_name": "BRONWYN",
"middle_name": "BLAIR",
"name_prefix": "Ms.",
"credential": "MS LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-10",
"last_updated": "2009-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NC",
"license": "7312",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Bern, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.