Individual provider Active NPI

Matthew Bryant Blanchard, M.D.

  • Family Medicine Physician
  • Asheboro, NC
National Provider Identifier
1821357591
Registry record updated Jan 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2019-02186 Issued in NC
Practice address
197 NC Highway 42 N Ste B
Asheboro, NC 27203-7968
Phone
(336) 625-2560
Fax
(336) 625-3562
NPI assigned
May 15, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 208247 LA
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 2019-02186 NC Primary

Addresses

Primary practice location

197 NC Highway 42 N Ste B
Asheboro, NC 27203-7968

Mailing address

550 White Oak St
Asheboro, NC 27203-4710
Phone (336) 625-1360

Other practice location 1

3801 North Blvd
Baton Rouge, LA 70806-3825
Phone (225) 387-7899

Other identifiers 1

IdentifierTypeStateIssuer
2019-02186OtherNCNC STATE LICENSE

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
I20200121001574 NC Practitioner - Family Practice 6608185319 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Urgent Care PLLCGroup PAC ID 1951766799, 10 clinicians

Practice addresses (Care Compare)

1201 Cotton Grove Rd
Lexington, NC 27292-5264
Phone (336) 565-5001

Hospital & facility affiliations

  • Lexington Memorial Hospital Inc Hospital, Lexington, NC, CCN 340096

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2019-02186NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Urgent Care PLLC Family Medicine CurrentSince Mar 1, 2023 Accepting new patients
Pinnacle Medical Group, Inc. Past Accepting new patients

Locations

3121 Garden Rd
Burlington, NC 27215
Phone (225) 235-0030

1201 Cotton Grove Rd
Lexington, NC 27292
Phone (336) 565-5001

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 and National Provider Directory roles.

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": "1337040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1821357591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 WHITE OAK ST",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272034710",
            "telephone_number": "336-625-1360",
            "fax_number": "336-625-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 NC HIGHWAY 42 N STE B",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272037968",
            "telephone_number": "336-625-2560",
            "fax_number": "336-625-3562"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3801 North Blvd",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708063825",
            "country_code": "US",
            "telephone_number": "225-387-7899",
            "fax_number": "225-381-2579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLANCHARD",
        "first_name": "MATTHEW",
        "middle_name": "BRYANT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-15",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "208247",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2019-02186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC STATE LICENSE",
            "identifier": "2019-02186",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheboro, NC

Sources for this page

Verify at the official NPI Registry.