Individual provider Active NPI

Brian Donner, D.O.

  • Nephrology Physician
  • Wilmington, NC
National Provider Identifier
1972544492
Registry record updated Jul 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
2006-000555 Issued in NC
Practice address
1302 Medical Center Dr
Wilmington, NC 28401-7503
Phone
(910) 343-9800
Fax
(910) 343-8650
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 2006-000555 NC Primary

Addresses

Primary practice location

1302 Medical Center Dr
Wilmington, NC 28401-7503

Mailing address

5613 Maxwell PL
Wilmington, NC 28409-2966
Phone (910) 352-7961

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20061004000526 NC Practitioner - NephrologyPractitioner - Internal Medicine 6608828140 Reassigns benefits to 1 organization
I20171117001870 SC Practitioner - Internal MedicinePractitioner - Nephrology 6608828140 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Eastern Nephrology Associates PLLCGroup PAC ID 2264420512, 75 clinicians

Practice addresses (Care Compare)

1302 Medical Ctr Dr
Wilmington, NC 28401-7503
Phone (910) 343-9800

20 Medical Campus Dr NW
Suite 101
Supply, NC 28462-4094
Phone (910) 754-4544

2021 N Myrtle Point Blvd
North Myrtle Beach, SC 29582-2224
Phone (843) 663-1401

227 Memorial Dr
Jacksonville, NC 28546-6333
Phone (910) 346-2263

511 Paladin Dr
Greenville, NC 27834-7826
Phone (252) 752-8880

608 A Airport Rd
Kinston, NC 28504-8210
Phone (252) 523-8513

800 Jefferson St
Suite 107
Whiteville, NC 28472-3702
Phone (910) 642-9888

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
221171MAMDSocial Worker
2006-000555NCMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Nephrology Associates PLLC Nephrology CurrentSince Apr 1, 2019 Accepting new patients
Health Sciences Foundation Inc. Past Accepting new patients
Umass Memorial Medical Center, Inc. Past Accepting new patients

Locations

511 Paladin Dr
Greenville, NC 27834
Phone (252) 317-2280

20 Medical Campus Dr NW
Ste 101
Supply, NC 28462
Phone (910) 754-4544

800 Jefferson St
Ste 107
Whiteville, NC 28472
Phone (910) 642-9888

1302 Medical Center Dr
Wilmington, NC 28401
Phone (910) 343-9800

2021 N Myrtle Point Blvd
Ste 106
North Myrtle Beach, SC 29582
Phone (843) 663-1401

2021 N Myrtle Point Blvd
Ste 104
North Myrtle Beach, SC 29582
Phone (843) 366-2900

Interoperability endpoints

  • Direct secure messaging: bdonner40578@directmcleodehealth.org
  • Direct secure messaging: bdonner22302@direct.acumenmd.com
  • Direct secure messaging: bdonner205673@direct.novanthealth.org
  • Direct secure messaging: bdonner@crhn.cernerdirect.com

Organizations & group practices 3

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.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341964800000",
    "number": "1972544492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5613 MAXWELL PL",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284092966",
            "telephone_number": "910-352-7961",
            "fax_number": "910-343-8650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 MEDICAL CENTER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017503",
            "telephone_number": "910-343-9800",
            "fax_number": "910-343-8650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONNER",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2012-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NC",
            "license": "2006-000555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.