Active NPI
Brett White, CP
- Prosthetist
- Conover, NC
National Provider Identifier
1982997805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- Practice address
- 715 Fairgrove Church Rd SE
Ste 203
Conover, NC 28613-9290 - Phone
- (828) 328-5347
- Fax
- (828) 328-4405
- NPI assigned
- May 25, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetist | 224P00000X | Primary |
Addresses
Primary practice location
715 Fairgrove Church Rd SE
Ste 203
Conover, NC 28613-9290
Mailing address
1687 Nelson Dr
Newton, NC 28658-1516
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C46948 | Other | BOC CERTIFICATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306886400000",
"number": "1982997805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1687 NELSON DR",
"city": "NEWTON",
"state": "NC",
"postal_code": "286581516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 FAIRGROVE CHURCH RD SE",
"address_2": "STE 203",
"city": "CONOVER",
"state": "NC",
"postal_code": "286139290",
"telephone_number": "828-328-5347",
"fax_number": "828-328-4405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "BRETT",
"credential": "CP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-25",
"last_updated": "2011-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOC CERTIFICATION",
"identifier": "C46948",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Conover, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.