Walter Hawkins Brosnan, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

33474 Issued in NC

Practice address

900 Centrepark Drive
Ste a
Asheville, NC 28805

Phone

(828) 254-9693

Fax

(828) 254-9695

NPI assigned

Apr 25, 2006

Sex

Male

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 3

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Western North Carolina Community Health Services Inc.

  • Federally Qualified Health Center (FQHC)
  • Asheville, NC
  • NPI 1780801050
  Medicare reassignment NPD
• Brosnan Eye Associates

  • Ophthalmology Physician
  • Asheville, NC
  • NPI 1164458220
  Authorized official Same address or phone
• Western North Carolina Community Health Services, Inc.

  • Community Health Clinic/Center
  • Asheville, NC
  • NPI 1043392921
  NPD
• Western North Carolina Community Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Marion, NC
  • NPI 1790402345
  NPD

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204675200000",
    "number": "1972569150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 CENTREPARK DRIVE",
            "address_2": "STE A",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "28805",
            "telephone_number": "828-254-9693",
            "fax_number": "828-254-9695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CENTREPARK DRIVE",
            "address_2": "STE A",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "28805",
            "telephone_number": "828-254-9693",
            "fax_number": "828-254-9695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROSNAN",
        "first_name": "WALTER",
        "middle_name": "HAWKINS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2008-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "33474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "18784",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "0870302",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8918784",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cristal Nicole Broom
• Camille Elizabeth Broome, PA, MPH
• Brosnan Eye Associates
• Rhoda Brooker Brosnan, M.D.
• Thomas Mock Brosnan, MD
• Patricia L Brostrom, DPT
• Martin Luther Brotemarkle Jr., D.M.D.
• Carol Brothers
• Samantha Josephine Brothers, MD
• David Thomas Brough, M.D.

• Ophthalmology Physician in Asheville, NC
• Providers in Asheville, NC by specialty
• Ophthalmology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.