Brian Mann, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

11548 Issued in NC

Practice address

7473 C Hwy 22
Whispering Pines, NC 28327-0000

Phone

(910) 215-5100

Fax

(910) 215-5114

NPI assigned

Oct 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Lake Emergency Services Inc

  • Emergency Medicine Physician
  • Willoughby, OH
  • NPI 1518927995
  NPD (past)

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412553600000",
    "number": "1962588897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 843298",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022843298",
            "telephone_number": "910-215-5100",
            "fax_number": "910-215-5114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7473 C HWY 22",
            "city": "WHISPERING PINES",
            "state": "NC",
            "postal_code": "283270000",
            "telephone_number": "910-215-5100",
            "fax_number": "910-215-5114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "BRIAN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2014-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50001829",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "11548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Demychal Harris
• Marshall Healy, PA-C
• Hilda Hitchcock
• James Richard Liffrig, M.D.
• Mary Beth Malone, BCBA
• Andrea Marks, RN
• Ashley Miller
• Brandy Mitch, LCMHC
• Ciera D Mitchell
• Erin Elizabeth Morgan, PA-C

• Physician Assistant in Whispering Pines, NC
• Providers in Whispering Pines, 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 Oct 6, 2014; 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.