Active NPI
Matthew Bryant Blanchard, M.D.
- Family Medicine Physician
- Asheboro, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2019-02186
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2019-02186 | Other | NC | NC 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
Enrollment records 1
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
Practice addresses (Care Compare)
1201 Cotton Grove Rd
Lexington, NC 27292-5264
Phone (336) 565-5001
Hospital & facility affiliations
- Lexington Memorial Hospital Inc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2019-02186 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Urgent Care PLLC | Family Medicine | Current | 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.
-
- Family Medicine Physician
- Burlington, NC
- NPI 1437860889
-
- Urgent Care Clinic/Center
- Salinas, CA
- NPI 1669557930
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lexington, NC
- NPI 1417958331
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.