Active NPI
Deborah Brady, FNP
- Family Nurse Practitioner
- Burlington, NC
National Provider Identifier
1831248541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 200744
- Practice address
- 1041 Kirkpatrick Rd
Suite 200
Burlington, NC 27215-8148 - Phone
- (336) 584-3100
- NPI assigned
- Jan 10, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 200744 | NC | Primary |
Addresses
Primary practice location
1041 Kirkpatrick Rd
Suite 200
Burlington, NC 27215-8148
Mailing address
1041 Kirkpatrick Rd
Suite 200
Burlington, NC 27215-8148
Phone (336) 584-3100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89014K3 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200744 | NC | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831248541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1041 KIRKPATRICK RD",
"address_2": "SUITE 200",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272158148",
"telephone_number": "336-584-3100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1041 KIRKPATRICK RD",
"address_2": "SUITE 200",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272158148",
"telephone_number": "336-584-3100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADY",
"first_name": "DEBORAH",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "200744",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89014K3",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Burlington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.