Individual provider Active NPI

Brooke Elizabeth Barkley, NP

  • Nurse Practitioner
  • Raleigh, NC
National Provider Identifier
1891270047
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5011083 Issued in NC
Practice address
6090 Six Forks Rd Ste a
Raleigh, NC 27609-8624
Phone
(919) 870-0488
Fax
(919) 870-8898
NPI assigned
Oct 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5011083 NC Primary

Addresses

Primary practice location

6090 Six Forks Rd Ste a
Raleigh, NC 27609-8624

Mailing address

2000 Perimeter Park Dr Ste 200
Morrisville, NC 27560-8442

Other practice location 1

2400 South Blvd Ste 200
Charlotte, NC 28203-5773
Phone (704) 316-3017

Other practice location 2

2400 South Blvd Ste 200
Charlotte, NC 28203
Phone (704) 316-3017

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address bbarkley679255@direct.novanthealth.org
Direct Messaging Address bbarkley101354@direct.UNC.nchie.net Direct

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

LicenseStateTypeSpecialty
5011083NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care, P.a. PastSince May 2, 2007 Accepting new patients
Gibbons Family Medicine PastSince Dec 12, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: bbarkley101354@direct.unc.nchie.net
  • Direct secure messaging: bbarkley679255@direct.novanthealth.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1538524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1891270047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 PERIMETER PARK DR STE 200",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275608442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6090 SIX FORKS RD STE A",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276098624",
            "telephone_number": "919-870-0488",
            "fax_number": "919-870-8898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 South Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282035773",
            "country_code": "US",
            "telephone_number": "704-316-3017",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2400 South Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "28203",
            "country_code": "US",
            "telephone_number": "704-316-3017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARKLEY",
        "first_name": "BROOKE",
        "middle_name": "ELIZABETH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-03",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5011083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bbarkley679255@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "2400 South Blvd Ste 200",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "28203",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bbarkley101354@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "6090 Six Forks Rd Ste A",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276098624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; 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.