Individual provider Active NPI

Meredith Louise Brehm

  • Physician Assistant
  • Matthews, NC
National Provider Identifier
1720835960
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
609 Catawba Cir N
Matthews, NC 28104-5126
Phone
(317) 833-5546
NPI assigned
May 6, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

609 Catawba Cir N
Matthews, NC 28104-5126

Mailing address

609 Catawba Cir N
Matthews, NC 28104-5126
Phone (317) 833-5546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250627001222 NC Practitioner - Physician Assistant 6901319524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metrolina Dermatology and Skin Surgery Specialists PLLCGroup PAC ID 3173891892, 39 clinicians

Practice addresses (Care Compare)

10502 Park Rd
Suite 100
Charlotte, NC 28210-6569
Phone (980) 299-3926

1238 Mann Dr
Matthews, NC 28105-5539
Phone (704) 364-6110

2630 E 7TH St
Suite 200
Charlotte, NC 28204-4319
Phone (704) 364-6110

8814 Rachel Freeman Way
Suite 101
Charlotte, NC 28278-9570
Phone (704) 364-6110

9550 Rocky River Rd
Suite 200
Charlotte, NC 28215-9526
Phone (704) 364-6110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1714953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1720835960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 CATAWBA CIR N",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281045126",
            "telephone_number": "317-833-5546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 CATAWBA CIR N",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281045126",
            "telephone_number": "317-833-5546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREHM",
        "first_name": "MEREDITH",
        "middle_name": "LOUISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-06",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

Verify at the official NPI Registry.