Active NPI
Brandon Shane Tolbert
- Physician Assistant
- Rutherford College, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 841 Malcolm Blvd
Rutherford College, NC 28671 - Phone
- (828) 874-3379
- NPI assigned
- May 13, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
841 Malcolm Blvd
Rutherford College, NC 28671
Mailing address
841 Malcolm Blvd
Rutherford College, NC 28671
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Proactive Therapy of North Carolina Inc
Practice addresses (Care Compare)
20 W Medical CT
Marion, NC 28752-4968
Phone (828) 659-8049
232 Sharon Ave NW
Lenoir, NC 28645-4326
Phone (828) 758-7091
503 E Parker Rd
Morganton, NC 28655-5104
Phone (828) 437-6500
799 Doctors CT
Roxboro, NC 27573-4571
Phone (336) 599-4079
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.07 of 100
- Quality
- 85.94
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.63
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergeortho PA | Physician Assistant | Current | Accepting new patients |
| Emergeortho PA | Current | Accepting new patients |
Locations
799 Doctors Ct
Roxboro, NC 27573
Phone (336) 599-4079
Interoperability endpoints
- brandon.tolbert.1@847.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Durable Medical Equipment & Medical Supplies
- Eden, NC
- NPI 1841170222
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CMC Blue Ridge
- General Acute Care Hospital
- Rutherford College, NC
- NPI 1306821798
-
dba CMC Blue Ridge
- Hematology & Oncology Physician
- Morganton, NC
- NPI 1417000837
Hospital
-
dba CMC Blue Ridge
- Hematology & Oncology Physician
- Valdese, NC
- NPI 1487707964
Hospital
-
dba UNC Health Blue Ridge
- General Acute Care Hospital
- Morganton, NC
- NPI 1700860491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653436800000",
"number": "1740846971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "841 MALCOLM BLVD",
"city": "RUTHERFORD COLLEGE",
"state": "NC",
"postal_code": "28671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "841 MALCOLM BLVD",
"city": "RUTHERFORD COLLEGE",
"state": "NC",
"postal_code": "28671",
"telephone_number": "828-874-3379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOLBERT",
"first_name": "BRANDON",
"middle_name": "SHANE",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-13",
"last_updated": "2022-05-25",
"certification_date": "2022-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rutherford College, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.