Organization Active NPI

Durham Gastroenterology Consultants PA

  • Gastroenterology Physician
  • Durham, NC
National Provider Identifier
1700846060
Registry record updated Sep 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
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, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2007

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
89015YTMedicaidNC

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.