Individual provider Active NPI

Jonathan Jordan Brisson, D.O.

  • Internal Medicine Physician
  • Morganton, NC
National Provider Identifier
1780926691
Registry record updated Jul 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2020-00014 Issued in NC
Practice address
2201 S Sterling St
Morganton, NC 28655-4044
Phone
(828) 580-6753
Fax
(828) 580-6759
NPI assigned
Mar 19, 2013
Last updated
Jul 23, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2020-00014 NC Primary

Addresses

Primary practice location

2201 S Sterling St
Morganton, NC 28655-4044

Mailing address

2201 S Sterling St
Morganton, NC 28655-4044
Phone (828) 580-6753

Other practice location 1

Bureau of Medicine and Surgery
554 Keily Street
Jacksonville, FL 32212
Phone (757) 953-7550

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200902002964 NC Practitioner - Internal Medicine 9335383520 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2201 S Sterling St
Morganton, NC 28655-4044
Phone (828) 580-6753

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Healthcare Medical Group, Inc. CurrentSince Sep 1, 2020 Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Current Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Internal Medicine CurrentSince Sep 1, 2020 Accepting new patients

Locations

2201 S Sterling St
Morganton, NC 28655
Phone (828) 580-6393

Interoperability endpoints

  • Direct secure messaging: jbrisson845641@direct.unc.nchie.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1363651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1780926691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 S STERLING ST",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286554044",
            "telephone_number": "828-580-6753",
            "fax_number": "828-580-6759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 S STERLING ST",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286554044",
            "telephone_number": "828-580-6753",
            "fax_number": "828-580-6759"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Bureau of Medicine and Surgery",
            "address_2": "554 Keily Street",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "32212",
            "country_code": "US",
            "telephone_number": "757-953-7550",
            "fax_number": "757-953-7562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRISSON",
        "first_name": "JONATHAN",
        "middle_name": "JORDAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-19",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2020-00014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morganton, NC

Sources for this page

Verify at the official NPI Registry.