MR. ANDREW RONALD BRAKE (NPI# 1174022743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174022743 |
| Entity Type | Individual |
| Full Name | MR. ANDREW RONALD BRAKE |
| Credential | FNP-BC |
| Practice Address |
1210 New Garden Rd Greensboro NC 27410 |
| Mailing Address |
3305 Farm Lake St Jamestown NC 27282-7514 |
| Practice Telephone | 3362946190 |
| Practice Fax Number | 3362946278 |
| Enumeration Date | 2018-02-08 |
| Last Update Date | 2020-06-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WM0705X |
Registered Nurse Specialization: Medical-Surgical |
269582 | NC | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
269582 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1210 NEW GARDEN RD |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750320727 | Lana S. O'neal | Emergency Medicine | 1210 New Garden Rd, Greensboro, NC 27410-2721 | 2006-06-05 |
| 1952931966 | Jessica J Livengood | Physician Assistant | 1210 New Garden Rd, Greensboro, NC 27410-2721 | 2020-01-17 |
| 1740827617 | Mary Yonjof | Registered Nurse | 1210 New Garden Rd, Greensboro, NC 27410-2721 | 2019-12-10 |
| 1306255393 | Courtney Wharton | Physician Assistant | 1210 New Garden Rd, Greensboro, NC 27410-2721 | 2014-08-05 |
| 1457436982 | Eagle Physicians and Associates Pa | Nurse Practitioner | 1210 New Garden Rd, Greensboro, NC 27410-2721 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669095014 | Well-spring Home Care LLC | In Home Supportive Care | 3859 Battleground Avenue, Suite 301, Greensboro, NC 27410 | 2020-05-20 |
| 1679139372 | Iora Health North Carolina, P.C. | Internal Medicine | 3351 Battleground Ave., Greensboro, NC 27410 | 2019-05-17 |
| 1669950689 | Matthew W Devaney Dds @ Brassfield, Pa | Dentist | 2018 New Garden Rd D., Greensboro, NC 27410 | 2018-08-01 |
| 1306323951 | Carolina Children's Eye Care, Pa | Ophthalmology | Friendly-holden Building, 3608 W Friendly Ave, Suite 101, Greensboro, NC 27410 | 2018-07-26 |
| 1457846495 | Courtney Canty James | Pharmacist | 3300 W Friendly Ave, Greensboro, NC 27410 | 2018-06-22 |
| 1063904506 | Jonathan Hunt | Dentist | 5506 W Friendly Ave Ste 101, Greensboro, NC 27410 | 2018-05-31 |
| 1487158549 | Ruth Ann Foster | Registered Nurse | 3005 Steepleton Colony Court, Greensboro, NC 27410 | 2018-03-22 |
| 1568973360 | Novant Medical Group Inc. | Internal Medicine | 1622 Highwoods Blvd Unit G105, Greensboro, NC 27410 | 2017-10-19 |
| 1942724729 | Greenbrook Tms Greensboro LLC | Psychiatry & Neurology | 1931 New Garden Rd Ste 108, Greensboro, NC 27410 | 2017-08-02 |
| 1750810156 | Ibrahim Koroma | Home Health Aide | 4907 Hickory Woods Dr, Greensboro, NC 27410 | 2017-06-08 |
| Find all providers in zip 27410 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513573 | Deanna Zieglowsky Michaux | Nurse Practitioner | 3803 Cardinal Ct, Greensboro, NC 27410-9139 | 2020-09-18 |
| 1518581412 | Tina Tate | Nurse Practitioner | Behavioral Health Hospital, 700 Walter Reed Drive, Greensboro, NC 27403 | 2020-06-05 |
| 1871145912 | Jasmine Mcentyre | Nurse Practitioner | 605 College Road, Greensboro, NC 27410-4101 | 2019-07-09 |
| 1831673821 | Kathryn Monet Bradshaw | Nurse Practitioner | 1105 Mcdowell Dr, Greensboro, NC 27408-6008 | 2018-09-17 |
| 1093296477 | Adebimpe Abimbola Olofintuyi | Nurse Practitioner | 6000 Black Willow Dr, Greensboro, NC 27405-8202 | 2018-08-23 |
| 1922593094 | Constance Foushee | Nurse Practitioner | 1100 E. Wendover, Greensboro, NC 27405 | 2018-06-29 |
| 1952890824 | Peace Dzigbordi Dormon | Nurse Practitioner | 5695 New Avedon Dr, Greensboro, NC 27455-8399 | 2018-05-07 |
| 1588153316 | Caitlyn Cook Johnston | Nurse Practitioner | 1000 Cowles Clinc Way Ste D-300, Greensboro, GA 30642-5289 | 2018-05-07 |
| 1992214357 | Jennifer Lynn Chatmon | Nurse Practitioner | 307 Pisgah Church Rd Ste J, Greensboro, NC 27455-2758 | 2017-09-28 |
| 1578084034 | Cone Health Connected Care, LLC | Nurse Practitioner | 2800 Lawndale Dr Ste 109, Greensboro, NC 27408 | 2017-07-05 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27410 |
Please comment or provide details below to improve the information on MR. ANDREW RONALD BRAKE.
| 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.