Individual provider Active NPI

Brianna M Hitchner

  • Family Medicine Physician
  • Shiprock, NM
National Provider Identifier
1689036030
Registry record updated Aug 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2017-02211 Issued in NC
Practice address
US Hwy 491 North
Shiprock, NM 87420
Phone
(505) 368-6001
Fax
(505) 368-7010
NPI assigned
Mar 24, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 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 2017-02211 NC Primary

Addresses

Primary practice location

US Hwy 491 North
Shiprock, NM 87420

Mailing address

PO Box 160
Shiprock, NM 87420-0160
Phone (505) 368-6001

Other names 1

  • Brianna M McMahon Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190910002270 TX Practitioner - Family Practice 9638460587 Reassigns benefits to 1 organization
I20220711003320 NC Practitioner - Family Practice 9638460587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

600 Chatham Medical Park
Elkin, NC 28621-2482
Phone (336) 835-4819

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Hugh Chatham Memorial Hospital, Inc. Family Medicine Current Accepting new patients
Hugh Chatham Memorial Hospital CurrentSince Jul 1, 2022 Accepting new patients
Hugh Chatham Memorial Hospital, Inc CurrentSince Jul 1, 2022 Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital CurrentSince Aug 22, 2019 Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital CurrentSince Aug 22, 2019 Accepting new patients
Hugh Chatham Memorial Hospital, Inc. Family Medicine Past Accepting new patients

Locations

150 Parkwood Dr
Elkin, NC 28621
Phone (336) 526-2629

180 Parkwood Dr
Elkin, NC 28621
Phone (336) 527-7000

680 Parkwood Medical Park
Elkin, NC 28621
Phone (336) 527-8359

600 Chatham Medical Park
Elkin, NC 28621
Phone (336) 527-7000

360 Parkwood Medical Park
Elkin, NC 28621
Phone (336) 527-5960

5229 Rock Creek Rd
Hays, NC 28635
Phone (336) 696-2711

Interoperability endpoints

  • Direct secure messaging: bhitchner@hcwc.gwaydirect.com

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1458777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1689036030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160",
            "city": "SHIPROCK",
            "state": "NM",
            "postal_code": "874200160",
            "telephone_number": "505-368-6001",
            "fax_number": "505-368-7011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "US HWY 491 NORTH",
            "city": "SHIPROCK",
            "state": "NM",
            "postal_code": "87420",
            "telephone_number": "505-368-6001",
            "fax_number": "505-368-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HITCHNER",
        "first_name": "BRIANNA",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-24",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2017-02211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIANNA",
            "last_name": "MCMAHON",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Shiprock, NM

Sources for this page

Verify at the official NPI Registry.