Brenda E Harris, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

101191 Issued in NC

Practice address

702 N Main St
Roxboro, NC 27573-4755

Phone

(336) 599-9271

Fax

(336) 599-0969

NPI assigned

Apr 25, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Person Family Medical Center Incorporated

  • Federally Qualified Health Center (FQHC)
  • Roxboro, NC
  • NPI 1194899542
  NPD (past)

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952520009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 N MAIN ST",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275734755",
            "telephone_number": "336-599-9271",
            "fax_number": "336-599-0969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 N MAIN ST",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275734755",
            "telephone_number": "336-599-9271",
            "fax_number": "336-599-0969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "BRENDA",
        "middle_name": "E",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "101191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5903636",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caroline Hadley, FNP-C
• Denise C Hamlett, REGISTERED NURSE
• Terri Ann Hamrick, LCSW
• Samantha Jo Hanes, M.A. CCC-SLP
• Sampson Emanuel Harrell, M.D.
• Sarah Beth Harris, FNP-C
• Ceyonne S Harrison
• Michelle H Hartzog
• Leah Joy Hatch, SLP
• Peter W. Hawkins, PA-C

• Medical Physician Assistant in Roxboro, NC
• Providers in Roxboro, NC by specialty
• Medical Physician Assistant in North Carolina

• 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.

Verify at the official NPI Registry.