Individual provider Active NPI

Bradford Cole Powell, M.D., PH.D.

  • Clinical Genetics (M.D.) Physician
  • Chapel Hill, NC
National Provider Identifier
1811191679
Registry record updated Dec 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Genetics (M.D.) PhysicianTaxonomy code 207SG0201X
License
2013-01999 Issued in NC
Practice address
5078 Genetic Medicine BLDG
Campus Box 7264
Chapel Hill, NC 27599-7264
Phone
(919) 962-4916
Fax
(919) 843-0291
NPI assigned
Jun 13, 2007
Last updated
Dec 17, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Genetics (M.D.) Physician 207SG0201X 2013-01999 NC Primary
Pediatrics Physician 208000000X MD440084 PA

Addresses

Primary practice location

5078 Genetic Medicine BLDG
Campus Box 7264
Chapel Hill, NC 27599-7264

Mailing address

5078 Genetic Medicine BLDG
Campus Box 7264
Chapel Hill, NC 27599-7264
Phone (919) 962-4916

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140211000651 NC Practitioner - Medical Genetics and GenomicsPractitioner - Hematology/Oncology 3375772569 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MD440084PAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Park Ophthalmology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: bpowell30717@direct.unc.nchie.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387238400000",
    "number": "1811191679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5078 GENETIC MEDICINE BLDG",
            "address_2": "CAMPUS BOX 7264",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997264",
            "telephone_number": "919-962-4916",
            "fax_number": "919-843-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5078 GENETIC MEDICINE BLDG",
            "address_2": "CAMPUS BOX 7264",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997264",
            "telephone_number": "919-962-4916",
            "fax_number": "919-843-0291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "BRADFORD",
        "middle_name": "COLE",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-13",
        "last_updated": "2013-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "NC",
            "license": "2013-01999",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD440084",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.