Brooks Edwards Scurry, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5011722 Issued in NC

Practice address

2809 Coltsgate Rd Ste 100
Charlotte, NC 28211-5583

Phone

(704) 733-9202

NPI assigned

Apr 25, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Brooks Lee Edwards Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1556150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1831753763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 W SUMMIT AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282034448",
            "telephone_number": "803-767-3052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 COLTSGATE RD STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282115583",
            "telephone_number": "704-733-9202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCURRY",
        "first_name": "BROOKS",
        "middle_name": "EDWARDS",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-25",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5011722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BROOKS",
            "last_name": "EDWARDS",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dana J Scroggs, SLP
• Michelle Scullock, MD
• Casey Keegan Scully Long, PA
• Emily Scully, BCBA
• Marissa Lynn Scumaci, PHARMD
• Rachelle Serwah Scurry
• Christina Seaborg, AUD
• Khalida D Seabury
• Tabitha Seade
• Kris Katherine Seagle

• Family Nurse Practitioner in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.