Individual provider Active NPI

Brandi Rothrock Harris, FNP-C

  • Family Nurse Practitioner
  • Greensboro, NC
National Provider Identifier
1750009353
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5016717 Issued in NC
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

Updated by the provider on Feb 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230418002917 NC Practitioner - Nurse Practitioner 6002281342 Reassigns benefits to 1 organization

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
Osh Mi Physicians Group, PCGroup PAC ID 7810282191, 154 clinicians

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

OrganizationSpecialtyStatusNew patients
Zack Hall, MD PLLC CurrentSince Apr 4, 2023 Accepting new patients
Osh-Mi Physicians Group PC Family CurrentSince Mar 18, 2024 Accepting new patients
Osh Mi Physicians Group, PC CurrentSince Mar 18, 2024 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.