Active NPI
Kerry O'Bric
- Physician Assistant
- Salisbury, NC
National Provider Identifier
1922446913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-03910
- Practice address
- 1601 Brenner Avenue
Vamc
Salisbury, NC 28144 - Phone
- (704) 638-9000
- NPI assigned
- Jun 12, 2013
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-03910 | NC | Primary |
Addresses
Primary practice location
1601 Brenner Avenue
Vamc
Salisbury, NC 28144
Mailing address
PO Box 203
Salisbury, NC 28145-0203
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140414000428 | NC | Order and Referring Only - Physician Assistant | 1153553714 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-03910 | NC | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370995200000",
"number": "1922446913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 203",
"city": "SALISBURY",
"state": "NC",
"postal_code": "281450203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 BRENNER AVENUE",
"address_2": "VAMC",
"city": "SALISBURY",
"state": "NC",
"postal_code": "28144",
"telephone_number": "704-638-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'BRIC",
"first_name": "KERRY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-12",
"last_updated": "2013-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-03910",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salisbury, NC
- Novant Medical Group, Inc. (Novant Health Diabetes & Nutrition)
- NSC and Associates
- NSC Behavioral Concepts, LLC (Dr. Nicole Sherrill-Corry, Ph.D.)
- Murisa Nukic
- Nzuri Doula Services
- Victoria O'Connor
- Sarah Brigid O'Horo-Nash, LCSW, COTA
- Catherine O'Neill, PT, DPT
- Oak Health Care Investors of Salisbury, Inc (The Laurels of Salisbury)
- Oak Health Care Investors of Salisbury, Inc. (The Laurels of Salisbury)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; 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.