MR. BRIAN ALLEN CARR (NPI# 1043524069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043524069 |
Entity Type | Individual |
Full Name | MR. BRIAN ALLEN CARR |
Credential | IDC |
Practice Address |
100 Brewster Blvd Camp Lejeune NC 28547-2538 |
Practice Telephone | 9366627979 |
Enumeration Date | 2010-08-02 |
Last Update Date | 2010-08-02 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 246Z00000X | Specialist/Technologist, Other | Technologists, Technicians & Other Technical Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | MILITARY HEALTHCARE PROVIDER/ INDEPENDENT DUTY CORPSMAN | 1710T1002X | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306483102 | Brian Carr | Counselor | 160 Vantage Point Dr, Zirconia, NC 28790-8832 | 2019-11-30 |
1750885513 | Brian Thomas Carr II | Student in an Organized Health Care Education/Training Program | 1000 Beverly Garden Dr, Metairie, LA 70002-5004 | 2018-03-19 |
1437479144 | Brian Robert Carr | Oral & Maxillofacial Surgery | 521 Parnassus Ave # C-522, San Francisco, CA 94143-0440 | 2010-06-03 |
1831300987 | Brian Jason Carr | Dentist | 453 Rockaway Ave, Valley Stream, NY 11581-1909 | 2007-05-24 |
1225175524 | Brian James Carr | Orthopaedic Surgery | 9499 W Charleston Blvd Ste 200, Las Vegas, NV 89117 | 2007-01-30 |
1144335191 | Brian W. Carr | Physical Therapist | 300 Universtity Blvd, Round Rock, TX 78664 | 2006-08-20 |
1316978703 | Brian D. Carr | Psychologist | 3709 22nd Pl, Suite C, Lubbock, TX 79410-1333 | 2006-07-05 |
1093270217 | Brian Rezel Carr | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2019-02-01 |
1841465184 | Brian Hale Carr | Dentist | 111 W High St, Suite 111, Elkton, MD 21921-5529 | 2008-04-28 |
1831161785 | Brian I Carr | Specialist | 111 S 11th St, Suite 4240, Philadelphia, PA 19107-4824 | 2006-02-06 |
Street Address |
100 BREWSTER BLVD |
City | CAMP LEJEUNE |
State | NC |
Zip Code | 28547-2538 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588668982 | Pierce Overman | Family Medicine | 100 Brewster Blvd, Naval Hospital, Camp Lejeune, NC 28547-2538 | 2005-06-13 |
1275146417 | Kristi Lynn Dixon | Nurse Practitioner | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2020-08-27 |
1841802253 | Konstance Mackie | Nurse Practitioner | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2020-08-18 |
1003425117 | Jeremy Moore | Licensed Practical Nurse | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2020-07-24 |
1801404546 | Erika Merite Papenfuss | Nurse Anesthetist, Certified Registered | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2020-07-20 |
1306454244 | Devon Nicole Dan | Nurse Anesthetist, Certified Registered | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2020-07-16 |
1851918957 | Uriah Nmn Paul | Nurse Anesthetist, Certified Registered | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2020-07-06 |
1447876529 | Leslee Lynne Smith | Speech-Language Pathologist | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2020-06-24 |
1356965727 | Haleigh Leister | Specialist/Technologist | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2020-06-02 |
1407482045 | Shajaylyn Lee-combs | Student in an Organized Health Care Education/Training Program | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2020-03-16 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558906032 | Abigail Deemer | Physician Assistant | L Street, Bldg Hp-416, Camp Lejeune, NC 28547 | 2019-11-08 |
1407406267 | Michelle Ferricher | Nurse Practitioner | Naval Medical Center Pediatric Clinic, Nh-200 Recovery Way, Camp Lejeune, NC 28547 | 2019-09-13 |
1215595566 | Kayla L Torrez Chang | General Practice | Mcmh Fc 308, Hm Smith Boulevard, Camp Lejeune, NC 28547 | 2019-06-02 |
1699338442 | Amanda Leigh Jepsen | Military Health Care Provider | Naval Medical Center; 100 Brewster Blvd, Camp Lejeune, NC 28547 | 2019-04-17 |
1306336995 | Erik Reid King | Physician Assistant | F Street Bldg. Hp206, Camp Lejeune, NC 28547 | 2018-05-18 |
1114434032 | David John Mcdermott | Specialist/Technologist | Bldg. H1 Julian C Smith Rd., Camp Lejuene, NC 28547 | 2017-12-30 |
1235678434 | Nicolle Elizabeth Johnson | Occupational Therapist | 180 Hospital Corps Blvd., Camp Lejeune, NC 28547 | 2017-02-21 |
1427435585 | Naval Medical Center Camp Lejeune | Military/U.S. Coast Guard Pharmacy | Stone St. Extention, Bldg Nh200, Camp Lejeune, NC 28547 | 2015-04-28 |
1043634173 | Garrett Michael Wren | Obstetrics & Gynecology | Naval Medical Center, 100 Brewster Blvd, Camp Lejeune, NC 28547 | 2014-02-10 |
1245662436 | Samuel Maluil | Internal Medicine | Bldg 124 Wallace Creek, Camp Lejeunce, NC 28547 | 2013-07-30 |
Find all providers in zip 28547 |
Taxonomy Code | 246Z00000X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Specialist/Technologist, Other |
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144829904 | Darrell Martin | Specialist/Technologist, Other | 209 Hollow Ln, Mt Holly, NC 28120-9652 | 2020-10-22 |
1154961100 | Amanda Roberts | Specialist/Technologist, Other | 113 County Line Rd, Tyner, NC 27980-9690 | 2020-01-07 |
1841849031 | Brandon Jacoby Everett | Specialist/Technologist, Other | 610 N Fayetteville St Ste 302, Asheboro, NC 27203-4671 | 2019-09-10 |
1598204240 | Lorette Robinson | Specialist/Technologist, Other | 17925 Halton Park Dr, 1e, Charlotte, NC 28262-6014 | 2017-02-14 |
1902343007 | Tracey Hampton | Specialist/Technologist, Other | 402 Saturn St, Dunn, NC 28334-2704 | 2017-01-26 |
1598142440 | Phillip Gary Horton Sr. | Specialist/Technologist, Other | 12152 Moonshadow Ln, Huntersville, NC 28078-6858 | 2015-04-29 |
1174914436 | Robyn Barton | Specialist/Technologist, Other | 10616 Metromont Pkwy Ste 106, Charlotte, NC 28269 | 2015-02-09 |
1821413519 | Kristen Lyn Mostrom | Specialist/Technologist, Other | 2500 Warren Carroll Dr Box 8502, Raleigh, NC 27695-0001 | 2014-03-04 |
1568891364 | Cape Fear Imaging, LLC | Specialist/Technologist, Other | 6361 Ocean Hwy E, Winnabow, NC 28479-5758 | 2013-11-02 |
1104128586 | Frank James Anderson | Specialist/Technologist, Other | 2126 Rolling Ridge Dr, Midway Park, NC 28544-1622 | 2010-11-17 |
Find all providers with the same taxonomy |
City | CAMP LEJEUNE |
Zip Code | 28547 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.