Individual provider Active NPI

Brook Elizabeth Amundson C Silva, MD

  • Obstetrics & Gynecology Physician
  • Greensboro, NC
National Provider Identifier
1811954845
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
NC200000174 Issued in NC
Practice address
719 Green Valley Rd
#101
Greensboro, NC 27408-7014
Phone
(336) 370-0277
Fax
(336) 333-9757
NPI assigned
Apr 26, 2006
Last updated
Aug 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X NC200000174 NC Primary

Addresses

Primary practice location

719 Green Valley Rd
#101
Greensboro, NC 27408-7014

Mailing address

719 Green Valley Rd
101
Greensboro, NC 27408-7014
Phone (336) 370-0227

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bamundsondecarvalhoesilva4513@direct.conehealth.com Direct

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
I20100922000897 NC Practitioner - Obstetrics/Gynecology 5395861777 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Minnesota Medical School, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

719 Green Valley Rd
Suite 305
Greensboro, NC 27408-7026
Phone (336) 275-5391

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NC200000174NCMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Moses Cone Affiliated Physicians, Inc Obstetrics & Gynecology Current Accepting new patients
CHMG Dba Greensboro Women's Health Care Current Accepting new patients
Allergy and Asthma Center of North Carolina, PA Past Accepting new patients

Locations

719 Green Valley Rd
Ste 101
Greensboro, NC 27408
Phone (336) 370-0277

719 Green Valley Rd
Ste 305
Greensboro, NC 27408
Phone (336) 272-3696

Interoperability endpoints

  • Direct secure messaging: bamundsondecarvalhoesilva4513@direct.conehealth.com

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 1

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1811954845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 GREEN VALLEY RD",
            "address_2": "101",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087014",
            "telephone_number": "336-370-0227",
            "fax_number": "336-333-9757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 GREEN VALLEY RD",
            "address_2": "#101",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087014",
            "telephone_number": "336-370-0277",
            "fax_number": "336-333-9757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMUNDSON C SILVA",
        "first_name": "BROOK",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "NC200000174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bamundsondecarvalhoesilva4513@direct.conehealth.com",
            "affiliation": "N",
            "endpointDescription": "Cone Health DirectAddress",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "719 Green Valley Rd",
            "address_2": "#101",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274087014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.