Joan Diane Brugman, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

2300 Issued in NC

Practice address

915 Tate Blvd SE Ste 186
Hickory, NC 28602-4042

Phone

(828) 449-8563

Fax

(828) 323-8348

NPI assigned

Dec 5, 2006

Last updated

Jul 10, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DLP Frye Medical Group LLCGroup PAC ID 8123397601, 125 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: joan.brugman.1@15786.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• DLP Frye Medical Group LLC

  dba FryeCare Lincolnton Medical Group

  • Rural Health Clinic/Center
  • Lincolnton, NC
  • NPI 1154005965
  Medicare reassignment Care Compare group NPD
• DLP Rutherford Physician Practices LLC

  • Family Medicine Physician
  • Forest City, NC
  • NPI 1962821322
  Medicare reassignment NPD
• DLP Frye Medical Group, LLC

  dba FryeCare Claremont Family

  • Family Medicine Physician
  • Hickory, NC
  • NPI 1821537697

  Psychologist

  NPD
• DLP Rutherford Physician Practices LLC

  dba Rutherford Family Care

  • Rural Health Clinic/Center
  • Rutherfordton, NC
  • NPI 1720849391
  NPD

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1760540306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 TATE BLVD SE STE 186",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286024042",
            "telephone_number": "828-449-8563",
            "fax_number": "828-323-8348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 TATE BLVD SE STE 186",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286024042",
            "telephone_number": "828-449-8563",
            "fax_number": "828-323-8348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUGMAN",
        "first_name": "JOAN",
        "middle_name": "DIANE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "2300",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "2300",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760540306",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6000447",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD ID",
            "identifier": "0369Q",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul Eugene Brown, M.D.
• Robert Claude Brown, LCSW
• Shane Nolan Brown, MSN, FNP-C
• Courtney Stump Browning, PA-C
• Tara J Broyhill, CMA
• Jamie D Brumley, CNM
• Bryan Graham and Kyle McKinney DDS (Sleep Well Carolina)
• Bryan R Neuwirth DDS MD PC
• Patricia Bryant-Renfro, LCSW
• Abby Bryant

• Psychologist in Hickory, NC
• Providers in Hickory, NC by specialty
• Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; 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.

Verify at the official NPI Registry.