Active NPI
Brenda Lee Howard, PA-C
- Medical Physician Assistant
- Durham, NC
National Provider Identifier
1750430575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- NC-103385
- Practice address
- 508 Fulton Street
Durham, NC 27705 - Phone
- (919) 286-0411
- NPI assigned
- Jan 10, 2007
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | NC-103385 | NC | Primary |
Addresses
Primary practice location
508 Fulton Street
Durham, NC 27705
Mailing address
1205 Horne Creek Drive
Durham, NC 27703
Phone (919) 703-6954
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NC-103385 | NC | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435795200000",
"number": "1750430575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1205 HORNE CREEK DRIVE",
"city": "DURHAM",
"state": "NC",
"postal_code": "27703",
"telephone_number": "919-703-6954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "508 FULTON STREET",
"city": "DURHAM",
"state": "NC",
"postal_code": "27705",
"telephone_number": "919-286-0411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOWARD",
"first_name": "BRENDA",
"middle_name": "LEE",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-10",
"last_updated": "2015-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NC",
"license": "NC-103385",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.