Brian K Long MD, PLLC

Primary specialty

Prescribing (Medical) PsychologistTaxonomy code 103TP0016X

License

200500391 Issued in NC

Legal business name

BRIAN K LONG MD, PLLC

Practice address

211 S Center St
Suite 217a
Statesville, NC 28677-5873

Phone

(704) 872-2350

Fax

(704) 872-2351

NPI assigned

Aug 21, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Brian K Long, MDNPI 1538246814

Title

Owner

Phone

(704) 872-2350

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian K Long, M.D.

  • Psychiatry Physician
  • Charlotte, NC
  • NPI 1538246814
  NPD (past) Authorized official

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

{
    "created_epoch": "1250812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250812800000",
    "number": "1700018843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 S CENTER ST",
            "address_2": "SUITE 217A",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286775873",
            "telephone_number": "704-872-2350",
            "fax_number": "704-872-2351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 S CENTER ST",
            "address_2": "SUITE 217A",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286775873",
            "telephone_number": "704-872-2350",
            "fax_number": "704-872-2351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN K LONG MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-21",
        "last_updated": "2009-08-21",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-872-2350",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "NC",
            "license": "200500391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5901922",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leesah Workman Bragg, RN
• Scott Craig Brandon, MD
• Connor Branson, MSW, LCSWA
• Peter Brengel, RN
• Brian K Long MD, PLLC
• June Starlet Bridgeman, R.N.
• Brian Chad Brill Jr., D.O.
• Titus Brinager, D.D.S
• Alicia Brindle, OTD
• Richard A Brodkin, MD

• Prescribing (Medical) Psychologist in Statesville, NC
• Providers in Statesville, NC by specialty
• Prescribing (Medical) Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.

Verify at the official NPI Registry.