Pediatric Partners PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

27129 Issued in NC

Legal business name

PEDIATRIC PARTNERS PA

Practice address

5816 Creedmoor Rd
Suite 104
Raleigh, NC 27612-2310

Phone

(919) 787-9555

Fax

(919) 510-5111

NPI assigned

Feb 22, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Terry Richard Brenneman, M.D.NPI 1588848006

Title

President

Phone

(919) 787-9555

Specialties & licenses 1

Addresses

Other names 1

• Terry Brenneman, MD Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11782/brand/1/csg/1/fhir/r4

Practitioners 8

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

• Terry Richard Brenneman, MD

  • Pediatrics Physician
  • Raleigh, NC
  • NPI 1588848006
  Medicare reassignment NPD Authorized official
• Virginia Schreiner, MD

  • Pediatrics Physician
  • Raleigh, NC
  • NPI 1033120035
  Medicare reassignment NPD
• Melanie Paul Walker, MD

  • Pediatrics Physician
  • Raleigh, NC
  • NPI 1346272721
  Medicare reassignment NPD
• Alexis F Norton, CPNP

  • Pediatric Nurse Practitioner
  • Raleigh, NC
  • NPI 1609488535
  NPD
• Alexis Ophaug, DO

  • Pediatrics Physician
  • Raleigh, NC
  • NPI 1538749528
  NPD
• Kelly Hayes, MD

  • Pediatrics Physician
  • Oxford, NC
  • NPI 1154737468
  NPD (past)
• Heather Starr Miller, RN,BSN,IBCLC

  • Lactation Consultant (Registered Nurse)
  • Raleigh, NC
  • NPI 1689965725

  Pediatrics

  NPD (past)
• Nina Faghri Lecompte, M.D.

  • Pediatrics Physician
  • Saint Louis, MO
  • NPI 1255699559
  NPD (past)

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225670400000",
    "number": "1730154857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5816 CREEDMOOR RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276122310",
            "telephone_number": "919-787-9555",
            "fax_number": "919-510-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5816 CREEDMOOR RD",
            "address_2": "SUITE 104",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276122310",
            "telephone_number": "919-787-9555",
            "fax_number": "919-510-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC PARTNERS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-22",
        "last_updated": "2008-11-03",
        "status": "A",
        "authorized_official_last_name": "BRENNEMAN",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-787-9555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "27129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Terry Brenneman, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pam Genise Pearson
• Mary Carolyn Peavey, M.D.
• Nadine Pechter, MD
• Hannah Marie Pedersen
• Sarah R Pedersen, PHARMD
• Pediatric Possibilities, P.a.
• Pediatric Services of America, LLC
• Pediatric Services of America, LLC
• Pediatric Therapy Associates
• Pediatric Urology of North Carolina

• Pediatrics Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Pediatrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.