Active NPI
Linda S. O'Brien, MD
- Hospitalist Physician
- North Wilkesboro, NC
National Provider Identifier
1790744696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 200101584
- Practice address
- 1370 W D St
North Wilkesboro, NC 28659-3506 - Phone
- (336) 716-2255
- NPI assigned
- Mar 20, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 200101584 | NC | Primary |
| Internal Medicine Physician | 207R00000X | 200101584 | NC |
Addresses
Primary practice location
1370 W D St
North Wilkesboro, NC 28659-3506
Mailing address
321 Mulberry Street, SW
Medical Staff Services
Lenoir, NC 28645
Phone (828) 757-5965
Other practice location 1
321 Mulberry Street, SW
Lenoir, NC 28645
Phone (828) 757-5504
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89130NG | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050112000989 | NC | Practitioner - Hospitalist | 2567411994 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200101584 | NC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rogue Valley Physicians PC | Internal Medicine | Past | Accepting new patients |
| Fryecare Physicians , LLC | Past | Accepting new patients | |
| Piedmont Hospitalists, PC | Internal Medicine | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/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.
-
- Pulmonary Disease Physician
- Hickory, NC
- NPI 1659774503
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1790744696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 MULBERRY STREET, SW",
"address_2": "MEDICAL STAFF SERVICES",
"city": "LENOIR",
"state": "NC",
"postal_code": "28645",
"telephone_number": "828-757-5965",
"fax_number": "828-757-5104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1370 W D ST",
"city": "NORTH WILKESBORO",
"state": "NC",
"postal_code": "286593506",
"telephone_number": "336-716-2255"
}
],
"practiceLocations": [
{
"address_1": "321 Mulberry Street, SW",
"address_purpose": "LOCATION",
"city": "Lenoir",
"state": "NC",
"postal_code": "28645",
"country_code": "US",
"telephone_number": "828-757-5504",
"fax_number": "828-757-5501",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "O'BRIEN",
"first_name": "LINDA",
"middle_name": "S.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-20",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NC",
"license": "200101584",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "200101584",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89130NG",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Wilkesboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.