Active NPI
Durham Gastroenterology Consultants PA
- Gastroenterology Physician
- Durham, NC
National Provider Identifier
1700846060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- DURHAM GASTROENTEROLOGY CONSULTANTS PA
- Practice address
- 249 E NC Highway 54
Ste 200
Durham, NC 27713 - Phone
- (919) 806-8322
- Fax
- (919) 433-0409
- NPI assigned
- Mar 23, 2006
- Last updated
- Sep 27, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Barbara Wells Brazer
- Title
- Practice Manager
- Phone
- (919) 806-8322
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | NU | Primary |
Addresses
Primary practice location
249 E NC Highway 54
Ste 200
Durham, NC 27713
Mailing address
249 E NC Highway 54
Ste 200
Durham, NC 27713
Phone (919) 806-8322
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89015YT | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
308 Crutchfield St
Ste D
Durham, NC 27704
Phone (919) 470-8630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190851200000",
"number": "1700846060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "249 E NC HIGHWAY 54",
"address_2": "STE 200",
"city": "DURHAM",
"state": "NC",
"postal_code": "27713",
"telephone_number": "919-806-8322",
"fax_number": "919-433-0409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "249 E NC HIGHWAY 54",
"address_2": "STE 200",
"city": "DURHAM",
"state": "NC",
"postal_code": "27713",
"telephone_number": "919-806-8322",
"fax_number": "919-433-0409"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DURHAM GASTROENTEROLOGY CONSULTANTS PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-23",
"last_updated": "2007-09-27",
"status": "A",
"authorized_official_last_name": "BRAZER",
"authorized_official_first_name": "BARBARA",
"authorized_official_middle_name": "WELLS",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "919-806-8322"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89015YT",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
- Durham Diagnostic Imaging LLC (Triangle Medical Park)
- Durham Diagnostic Imaging LLC (Independence Park)
- Durham Emergency Physicians, PA
- Durham Exchange Club Industries
- Durham Family Chiropractic P.C.
- Durham Healthcare LLC (Grace Healthcare of Durham)
- Durham Internal Medicine Associates, P.a.
- Durham Lifestyle Management LLC
- Durham Limited Partnership III (Carver Living Center)
- Durham Manor LLC (Forest View Rehabilitation Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.