Organization Active NPI

Brannon Obstetrics & Gynecology, P.a.

  • Obstetrics & Gynecology Physician
  • Cary, NC
National Provider Identifier
1992884068
Registry record updated Jun 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
76155 Issued in NC
Legal business name
BRANNON OBSTETRICS & GYNECOLOGY, P.A.
Practice address
530 New Waverly PL
Suite 301
Cary, NC 27511-7414
Phone
(919) 851-3480
Fax
(919) 851-3381
NPI assigned
Nov 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2012

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

Authorized official

Name
Dr. Gregory Joseph Brannon, M.D.
Title
President
Phone
(919) 851-3480

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 76155 NC Primary

Addresses

Primary practice location

530 New Waverly PL
Suite 301
Cary, NC 27511-7414

Mailing address

PO Box 843332
Boston, MA 02284-3332
Phone (919) 851-3480

Other identifiers 1

IdentifierTypeStateIssuer
8947975MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340582400000",
    "number": "1992884068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 843332",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022843332",
            "telephone_number": "919-851-3480",
            "fax_number": "919-851-3381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 NEW WAVERLY PL",
            "address_2": "SUITE 301",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275117414",
            "telephone_number": "919-851-3480",
            "fax_number": "919-851-3381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANNON OBSTETRICS & GYNECOLOGY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2012-06-25",
        "status": "A",
        "authorized_official_last_name": "BRANNON",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-851-3480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "76155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8947975",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; 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.