Channing Broyan

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-04910 Issued in NC

Practice address

1442 Military Cutoff Rd
Wilmington, NC 28403-3605

Phone

(910) 256-6088

Fax

(910) 256-6089

NPI assigned

Jul 31, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Skin Surgery Center PAGroup PAC ID 3173599479, 72 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cbroyan@aadermaffiliates.emadirect.md

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.

• Skin Surgery Center PA

  • Dermatology Physician
  • Winston Salem, NC
  • NPI 1649237082
  Medicare reassignment Care Compare group
• Masonboro Urgent Care, PC

  • Family Medicine Physician
  • Wilmington, NC
  • NPI 1427389865
  Medicare reassignment
• Southern Dermatology, P.a.

  • Specialist
  • Raleigh, NC
  • NPI 1568415586
  Medicare reassignment
• Skin Surgery Center PA

  • MOHS-Micrographic Surgery Physician
  • Mount Pleasant, SC
  • NPI 1851810279
  NPD
• Atlantic Dermatology, PA

  • Dermatology Physician
  • Wilmington, NC
  • NPI 1871043109
  NPD (past)
• Anne Arundel Dermatology Affiliates PC

  • Dermatology Physician
  • Hunt Valley, MD
  • NPI 1083200794
  NPD (past)

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

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423526400000",
    "number": "1952719205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1442 MILITARY CUTOFF RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284033605",
            "telephone_number": "910-256-6088",
            "fax_number": "910-256-6089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1442 MILITARY CUTOFF RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284033605",
            "telephone_number": "910-256-6088",
            "fax_number": "910-256-6089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROYAN",
        "first_name": "CHANNING",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-31",
        "last_updated": "2015-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-04910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Lynn Brownlee, LCSW
• Lillian Claire Brownlow, SLP
• Robert Lee Brownlow Jr., M.D.
• Brownpharmacy LLC
• Brownpharmacy LLC
• Marlo Camille Broyles, OTR/L
• Bruce C Arne' DDS PA
• Bruce M Chapman DPM PA
• Candice S Brueck, PT
• Thomas Burbank Bruff Jr., D.D.S.

• Physician Assistant in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.