Active NPI
Brandi Rothrock Harris, FNP-C
- Family Nurse Practitioner
- Greensboro, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5016717
- Practice address
- 3808 W Gate City Blvd Ste A1
Greensboro, NC 27407-4661 - Phone
- (336) 518-7008
- NPI assigned
- Aug 19, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5016717 | NC | Primary |
Addresses
Primary practice location
3808 W Gate City Blvd Ste A1
Greensboro, NC 27407-4661
Mailing address
PO Box 746724
Atlanta, GA 30374-6724
Phone (312) 733-9730
Other practice location 1
217 Turner Dr Ste F217-F
Reidsville, NC 27320-5754
Phone (336) 342-6060
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
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3250 Freedom Dr
Charlotte, NC 28208-2817
Phone (704) 709-6009
3808 W Gate City Blvd
A1
Greensboro, NC 27407-4713
Phone (336) 518-7008
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zack Hall, MD PLLC | Current | Accepting new patients | |
| Osh-Mi Physicians Group PC | Family | Current | Accepting new patients |
| Osh Mi Physicians Group, PC | Current | Accepting new patients |
Locations
3250 Freedom Dr
Charlotte, NC 28208
Phone (704) 394-0118
3808 W Gate City Blvd
Ste A1
Greensboro, NC 27407
Phone (336) 518-7008
217 Turner Dr
Ste F
Reidsville, NC 27320
Phone (336) 342-6060
Interoperability endpoints
- https://api.platform.athenahealth.com/25214/brand/1/csg/1/fhir/r4
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Greensboro, NC
- NPI 1033766092
-
- Internal Medicine Physician
- Reidsville, NC
- NPI 1003075219
-
- Primary Care Clinic/Center
- Memphis, TN
- NPI 1720635790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708300800000",
"number": "1750009353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 746724",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303746724",
"telephone_number": "312-733-9730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3808 W GATE CITY BLVD STE A1",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274074661",
"telephone_number": "336-518-7008"
}
],
"practiceLocations": [
{
"address_1": "217 Turner Dr Ste F217-F",
"address_purpose": "LOCATION",
"city": "Reidsville",
"state": "NC",
"postal_code": "273205754",
"country_code": "US",
"telephone_number": "336-342-6060",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARRIS",
"first_name": "BRANDI",
"middle_name": "ROTHROCK",
"name_prefix": "Dr.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-19",
"last_updated": "2024-02-19",
"certification_date": "2024-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5016717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; 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.