Individual provider Active NPI

Brittany A. H. Hodorowicz, PA-C

  • Physician Assistant
  • Raleigh, NC
National Provider Identifier
1760583181
Registry record updated Oct 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-00724 Issued in NC
Practice address
3001 Edwards Mill Rd
Ste 200
Raleigh, NC 27612-5243
Phone
(919) 781-5600
Fax
(919) 782-6578
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-00724 NC Primary

Addresses

Primary practice location

3001 Edwards Mill Rd
Ste 200
Raleigh, NC 27612-5243

Mailing address

2605 Blue Ridge Rd
Ste 240
Raleigh, NC 27607-6475
Phone (919) 277-9845

Other identifiers 1

IdentifierTypeStateIssuer
2331955OtherNCMEDICARE GRP PIN

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
I20070525000562 NC Practitioner - Physician Assistant 1355448325 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
East Carolina Anesthesia Associates PLLCGroup PAC ID 5092720813, 691 clinicians

Practice addresses (Care Compare)

2010 W Arlington Blvd
Greenville, NC 27834-5779
Phone (252) 847-0601

2430 Emerald PL
Suite 103
Greenville, NC 27834-5743
Phone (252) 752-2140

8300 Health Park
Suite 309
Raleigh, NC 27615-4731
Phone (984) 272-4028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Raleigh Neurosurgical Clinic, Inc. CurrentSince Sep 23, 2018 Accepting new patients
Southern Dermatology, P.a. PastSince Oct 1, 2019 Accepting new patients

Locations

1902 N Sandhills Blvd
Ste A
Aberdeen, NC 28315

2109 Valleygate Dr
Ste 201
Fayetteville, NC 28304
Phone (910) 486-8880

2605 Hospital Rd
Goldsboro, NC 27534
Phone (919) 741-7502

3700 Symi Cir
Morehead City, NC 28557
Phone (252) 222-5888

2605 Blue Ridge Rd
Ste 240
Raleigh, NC 27607
Phone (919) 277-9845

5838 Six Forks Rd
Ste 100
Raleigh, NC 27609

110 Turner St
Southern Pines, NC 28387
Phone (910) 725-0361

110 Capcom Ave
Ste 200
Wake Forest, NC 27587
Phone (919) 229-4046

4130 Oleander Dr
Ste 100
Wilmington, NC 28403
Phone (910) 200-5242

Organizations & group practices 4

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540252800000",
    "number": "1760583181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 BLUE RIDGE RD",
            "address_2": "STE 240",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076475",
            "telephone_number": "919-277-9845",
            "fax_number": "919-863-9850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 EDWARDS MILL RD",
            "address_2": "STE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276125243",
            "telephone_number": "919-781-5600",
            "fax_number": "919-782-6578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODOROWICZ",
        "first_name": "BRITTANY",
        "middle_name": "A. H.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2018-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-00724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GRP PIN",
            "identifier": "2331955",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.