Paul Bartow Marshburn, MD

Primary specialty

Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X

License

29621 Issued in NC

Practice address

1025 Morehead Medical Dr
Suite 500, 5TH Floor
Charlotte, NC 28204-2968

Phone

(704) 355-3149

Fax

(704) 355-5891

NPI assigned

Aug 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: pmarshburn137191@carolinashealthcaresystem.direct-ci.com

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1740297282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601372",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282601372",
            "telephone_number": "704-355-3149",
            "fax_number": "704-355-5891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 MOREHEAD MEDICAL DR",
            "address_2": "SUITE 500, 5TH FLOOR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042968",
            "telephone_number": "704-355-3149",
            "fax_number": "704-355-5891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHBURN",
        "first_name": "PAUL",
        "middle_name": "BARTOW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "29621",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "NC",
            "license": "29621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "54808",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740297282",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8954808",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pmarshburn137191@CarolinasHealthcareSystem.direct-ci.com",
            "affiliation": "N",
            "address_1": "1025 Morehead Medical Dr",
            "address_2": "Suite 500, 5th Floor",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282042968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shatara Marshall
• Tamara Rose Marshall, FNP-BC
• Taylor Marshall
• Taylor Lauren Marshall, LCSWA
• Valecia Marshall
• Brittany Lynnae Marshe, PTA
• Brianna Marsicano
• Erica Marsico, PA-C
• Julia Lee Marsilio, M.S.
• Ninette Helene Marsocci, D.C.

• Reproductive Endocrinology Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Reproductive Endocrinology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; 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.