BRANDON GOLD


Address: 160 Mine Lake Ct Ste 200, Raleigh, NC 27615-6417
Phone: 3054669988

BRANDON GOLD (NPI# 1154692143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154692143
Entity Type Individual
Full Name BRANDON GOLD
Credential P.A.
Practice Address 160 Mine Lake Ct Ste 200
Raleigh
NC 27615-6417
Mailing Address 3800 S Ocean Dr Ste 209
Hollywood
FL 33019-2915
Practice Telephone 3054669988
Practice Fax Number 3054669989
Mailing Telephone 3054669988
Mailing Fax Number 3054669989
Enumeration Date 2012-01-23
Last Update Date 2019-04-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363AM0700X Physician Assistant
Specialization: Medical
0010-03344 NC Physician Assistants & Advanced Practice Nursing Providers
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
0010-03344 NC Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
18 Medical Park Dr, Asheville, NC 288032493 8282537521 8282515992

Office Location

Street Address 160 MINE LAKE CT STE 200
City RALEIGH
State NC
Zip Code 27615-6417

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356524086 Byron Keith Forgy Surgery 160 Mine Lake Ct Ste 200, Raleigh, NC 27615 2007-12-17
1295390557 Prime Nc Health, LLC Specialist/Technologist, Other 160 Mine Lake Ct Ste 200, Raleigh, NC 27615-6417 2019-05-02
1700360369 Jessica Nicole Boggs Nurse Practitioner 160 Mine Lake Ct Ste 200, Raleigh, NC 27615-6417 2018-09-19
1790213536 Kathryn Rebecca Sabo Nurse Practitioner 160 Mine Lake Ct Ste 200, Raleigh, NC 27615-6417 2017-05-24
1700267689 Jennifer Mead Uebele Nurse Practitioner 160 Mine Lake Ct Ste 200, Raleigh, NC 27615 2015-06-16
1194102327 Erin Miller Physician Assistant 160 Mine Lake Ct Ste 200, Raleigh, NC 27615-6417 2015-04-27
1699163279 Quality Surgical Management Pa Surgery 160 Mine Lake Ct Ste 200, Raleigh, NC 27615-6417 2015-01-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588278535 Emily Grace Johnson Behavior Technician 119 Wind Chime Court, Suite 4, Raleigh, NC 27615 2020-09-06
1730706110 Maja V Martin, Dds, Pa1 Clinic/Center 7371 Six Forks Road, Raleigh, NC 27615 2020-07-01
1972146967 Atlantic Avenue Pharmaceutical, Inc Pharmacy 5621 Atlantic Ave, Suite 103, Raleigh, NC 27615 2019-10-22
1023503950 Siyara Shannay Dobbs Social Worker 7013 Woodbend Dr Apt H, Raleigh, NC 27615 2018-06-23
1194210153 Brittanie Ja'nell Harris Dentist 1911 Falls Valley Dr Ste 107, Raleigh, NC 27615 2018-06-22
1710489448 Sherise Swensen Social Worker 8368 Six Forks Road, Suite 101, Raleigh, NC 27615 2018-03-08
1881100345 Casey Paul Baine Counselor 6330 Falls of Neuse Rd Ste 104, Raleigh, NC 27615 2017-12-20
1588177885 Michael Lacidonia Acupuncturist 6400 Falls of Neuse Rd Ste 200, Raleigh, NC 27615 2017-11-08
1457877631 Matt Henderson Behavioral Analyst 8374 Six Forks Road, Suite 101, Raleigh, NC 27615 2017-08-18
1760907646 Shakeda Muldrow Social Worker 7323 Brookbank Lane, Raleigh, NC 27615 2017-08-11
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407170079 Stephanie Solosko Physician Assistant 8238 Primanti Blvd, Raleigh, NC 27612-7413 2010-03-25
1386817203 Katherine Noland Sherron Physician Assistant 10941 Raven Ridge Rd Ste 103, Raleigh, NC 27614-6487 2008-04-11
1053430652 Sharon Ann Mowrey Physician Assistant 3333 Clandon Park Dr, Raleigh, NC 27613-8841 2007-03-28
1306907043 Roshni Patel Mapp Physician Assistant Duke Thoracic Surgery of Raleigh, 3404 Wake Forest Rd, Suite 201, Raleigh, NC 27609 2006-12-13
1437186152 Rita Marie Langworth-brewer Physician Assistant 3737 Glenwood Ave, Raleigh, NC 27612-5515 2006-06-27
1033716634 Sarah Petty Butler Physician Assistant 5838 Six Forks Rd Ste 100, Raleigh, NC 27609-3893 2020-10-06
1043829534 Samantha Talbot Brown Physician Assistant 4509 Creedmoor Rd Ste 201, Raleigh, NC 27612-3813 2020-07-30
1093361859 Kirsten Sinclair Renz Physician Assistant 3320 Wake Forest Rd Ste 450, Raleigh, NC 27609-7300 2019-08-16
1265087076 Lauren Wells Queen Physician Assistant 11200 Governor Manly Way Ste 309, Raleigh, NC 27614-7375 2019-08-08
1730734211 Shea Tryon Whittaker Physician Assistant 3000 New Bern Ave, Raleigh, NC 27610-1231 2019-08-02
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Competitor

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City RALEIGH
Zip Code 27615

Improve Information

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Dataset Information

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.

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