Brenda Kay Dushek, OPA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

1305 Issued in NC

Practice address

20 Medical Campus Dr NW Ste 104
Supply, NC 28462-4094

Phone

(910) 575-5800

NPI assigned

May 1, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1556668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556668800000",
    "number": "1740845148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 MEDICAL CAMPUS DR NW STE 104",
            "city": "SUPPLY",
            "state": "NC",
            "postal_code": "284624094",
            "telephone_number": "910-575-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MEDICAL CAMPUS DR NW STE 104",
            "city": "SUPPLY",
            "state": "NC",
            "postal_code": "284624094",
            "telephone_number": "910-575-5800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Medical Campus Dr NW",
            "address_purpose": "LOCATION",
            "city": "Supply",
            "state": "NC",
            "postal_code": "284624096",
            "country_code": "US",
            "telephone_number": "910-575-5800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUSHEK",
        "first_name": "BRENDA",
        "middle_name": "KAY",
        "credential": "OPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-01",
        "last_updated": "2019-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NC",
            "license": "1305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Graham Davis, DPT
• Timothy Carr Deans
• Lauren Deluca, RN, BSN, IBCLC
• Jonathan Nicholas Desillier, PA-C
• Brandon Eric Devito, D.D.S
• Edward E. Hayes M.D.LLC
• Essential Connections Consulting & Wellness Services LLC
• Kaitlyn Marie Etheridge
• Fayetteville Vamc
• Kathryn Gay Flood, LPC

• Surgical Physician Assistant in Supply, NC
• Providers in Supply, NC by specialty
• Surgical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; 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.