Brendan M Carr, PHD

Primary specialty

Exercise & Sports PsychologistTaxonomy code 103TE1100X

License

5694 Issued in NC

Practice address

2000 Regency Pkwy Ste 285
Cary, NC 27518-8506

Phone

(919) 234-6144

NPI assigned

Mar 24, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585008000000",
    "number": "1801423488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 BYNUM RIDGE RD",
            "city": "PITTSBORO",
            "state": "NC",
            "postal_code": "273129376",
            "telephone_number": "336-383-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 REGENCY PKWY STE 285",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275188506",
            "telephone_number": "919-234-6144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "BRENDAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-24",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TE1100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Exercise & Sports",
            "state": "NC",
            "license": "5694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolina'S Finest Mobile Phlebotomy
• Carolinas Fertility Institute, P.a.
• Alexandra Isabella Carpenter
• Alyssa Marie Carpenter
• Riley Carpenter, OTD
• Hannah Carr, RPH
• Jennifer Germain Carr, PA
• Jude T. Carr, PA
• Laura Maddox Carr, M.S.
• Nizha Carr

• Exercise & Sports Psychologist in Cary, NC
• Providers in Cary, NC by specialty
• Exercise & Sports Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.