Individual provider Active NPI

Sheila Brun Chervil, PA

  • Physician Assistant
  • Charlotte, NC
National Provider Identifier
1992825368
Registry record updated Nov 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-03899 Issued in NC
Practice address
10210 Couloak Dr
Suite E
Charlotte, NC 28216-7679
Phone
(704) 801-2000
Fax
(704) 801-2001
NPI assigned
Mar 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-03899 NC Primary

Addresses

Primary practice location

10210 Couloak Dr
Suite E
Charlotte, NC 28216-7679

Mailing address

PO Box 602478
Charlotte, NC 28260-2478
Phone (704) 801-2000

Other identifiers 2

IdentifierTypeStateIssuer
8103041MedicaidNC
1992825368MedicaidNC

Other names 1

  • Sheila Brun Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20100729000090 TX Practitioner - Physician Assistant 7719032978 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Health Physicians PLLCGroup PAC ID 7810237740, 240 clinicians

Practice addresses (Care Compare)

1017 W Hebron Pkwy
Carrollton, TX 75010-1113
Phone (972) 939-9495

1218 W McDermott Dr
Allen, TX 75013-6304
Phone (972) 390-9000

1530 N Hwy 377
Roanoke, TX 76262-9116
Phone (682) 254-9920

2221 Abrams Rd
Dallas, TX 75214-3620
Phone (972) 674-8510

2310 W University Dr
Suite 1500
Denton, TX 76201-1650
Phone (940) 220-5901

2404 McKinney Ave
Dallas, TX 75201-1936
Phone (214) 721-0630

3090 N Goliad St
Rockwall, TX 75087-7007
Phone (972) 722-0011

3751 S I 35
Denton, TX 76210-6852
Phone (940) 383-2700

377 W Campbell Rd
Suite 100
Richardson, TX 75080-3695
Phone (469) 232-2945

3821 W Spring Creek Pkwy
Plano, TX 75023-3808
Phone (972) 599-0077

4501 Lemmon Ave
Dallas, TX 75219-2145
Phone (469) 672-4238

4844 Greenville Ave
Dallas, TX 75206-4120
Phone (214) 295-9410

529 Laurence Dr
Heath, TX 75032-1947
Phone (469) 935-8040

5644 Preston Rd
Frisco, TX 75034-7420
Phone (972) 529-4545

809 N Central Expy
McKinney, TX 75070-3303
Phone (972) 529-4500

9323 Lyndon B Johnson Fwy
Dallas, TX 75243-3403
Phone (214) 570-3003

9540 Garland Rd
Dallas, TX 75218-5004
Phone (214) 321-0015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-03899NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southlake Doctors Express, PA PSC Current Accepting new patients
Primamed Physicians PLLC CurrentSince May 22, 2019 Accepting new patients
Doctors Express of the Temple Area, PA Past Accepting new patients
Citimed, P.a. Past Accepting new patients

Locations

4401 Little Rd
Ste 520
Arlington, TX 76016
Phone (682) 318-3114

11888 Marsh Ln
Ste 104
Dallas, TX 75234
Phone (972) 488-9222

3304 Alma Dr
Plano, TX 75023
Phone (972) 424-6581

2315 E Southlake Blvd
Ste 110
Southlake, TX 76092
Phone (817) 488-9922

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385424000000",
    "number": "1992825368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602478",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602478",
            "telephone_number": "704-801-2000",
            "fax_number": "704-801-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10210 COULOAK DR",
            "address_2": "SUITE E",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282167679",
            "telephone_number": "704-801-2000",
            "fax_number": "704-801-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERVIL",
        "first_name": "SHEILA",
        "middle_name": "BRUN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2013-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-03899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8103041",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992825368",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHEILA",
            "last_name": "BRUN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.