Fatima A Brens, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2006-01670 Issued in NC

Practice address

700 N Main St
Stanley, NC 28164

Phone

(704) 263-8945

Fax

(704) 263-2591

NPI assigned

Oct 26, 2006

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 identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Caromont Medical Group Inc

  • Family Medicine Physician
  • Gastonia, NC
  • NPI 1356314272
  Medicare reassignment NPD
• Caromont Medical Group Inc

  dba CaroMont Family Medicine

  • Family Medicine Physician
  • Stanley, NC
  • NPI 1245419845
  NPD
• Caromont Medical Group Inc

  • Family Medicine Physician
  • Stanley, NC
  • NPI 1972301380
  NPD

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533081600000",
    "number": "1871678110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N MAIN ST",
            "city": "STANLEY",
            "state": "NC",
            "postal_code": "281641438",
            "telephone_number": "704-263-8945",
            "fax_number": "704-263-2591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N MAIN ST",
            "city": "STANLEY",
            "state": "NC",
            "postal_code": "28164",
            "telephone_number": "704-263-8945",
            "fax_number": "704-263-2591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENS",
        "first_name": "FATIMA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2018-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2006-01670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871678110",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kameron Anderson
• Antley Pediatric Therapy, Corp.
• Megan Berry
• Kurt F Beyer, CPO
• Deanna Bizzaro, LCSW-A
• Kyle Daniel Brown, PA-C
• Shameka L Brown
• Toni Michelle Brown, BSPS, PHARMD, RPH
• Caromont Medical Group Inc (CaroMont Family Medicine)
• Caromont Medical Group Inc

• Family Medicine Physician in Stanley, NC
• Providers in Stanley, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.