BROCKER HEALTH CENTER/ UNC CHARLOTTE (NPI# 1306450887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306450887 |
| Entity Type | Organization |
| Organization Name | BROCKER HEALTH CENTER/ UNC CHARLOTTE |
| Practice Address |
9201 University City Blvd Student Health Center Charlotte NC 28223-0001 |
| Practice Telephone | 7046875873 |
| Practice Fax Number | 7046870762 |
| Mailing Telephone | 7046875873 |
| Mailing Fax Number | 7046870762 |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2020-09-02 |
| Authorized Official Name | MRS. LACRISSA LORRAINE JOHANSEN (ASSOCIATE DIRECTOR FOR BUSINESS) |
| Authorized Official Telephone | 7046875873 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1000X |
Clinic/Center Specialization: Student Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| University of North Carolina at Charlotte | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780968131 | Brocker Health Center/ Unc Charlotte | Clinic/Center | 9201 University City Blvd, Charlotte, NC 28223-0001 | 2011-10-04 |
| Street Address |
9201 UNIVERSITY CITY BLVD STUDENT HEALTH CENTER |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28223-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508820614 | Abbey Thomas | Specialist/Technologist | 9201 University City Blvd, Belk 231, Charlotte, NC 28223 | 2006-04-14 |
| 1427520485 | Rebeca Coletti | Behavior Technician | 8939 Cameron Blvd, Charlotte, NC 28223-0001 | 2018-12-31 |
| 1407240872 | Linda Probst | Specialist/Technologist | Department of Kinesiology, 9201 University City Blvd, Charlotte, NC 28223-0001 | 2015-03-24 |
| 1255626578 | Lydia Boldt Smith | Counselor | 9201 University City Blvd., Counseling, Charlotte, NC 28223-0001 | 2011-06-15 |
| 1558968792 | Katrina Trinidad Gallo | Specialist/Technologist | 9201 University City Blvd, Charlotte, NC 28223-0001 | 2020-10-01 |
| 1043817281 | Robert Eachus | Specialist/Technologist | 9201 University City Blvd, Charlotte, NC 28223-0001 | 2020-10-01 |
| 1205440450 | University of North Carolina At Charlotte | Clinical Medical Laboratory | 9201 University City Blvd, Cameron 271, Charlotte, NC 28223-0001 | 2020-09-04 |
| 1568096089 | Shelley Linens | Specialist/Technologist | 9201 University City Blvd, Charlotte, NC 28223-0001 | 2020-02-24 |
| 1053943290 | Luke Donovan | Specialist/Technologist | 9201 University City Blvd, Charlotte, NC 28223-0001 | 2020-02-05 |
| 1164947768 | Jessica Groleau | Psychologist | 9201 University City Blvd, Charlotte, NC 28223-0001 | 2017-08-04 |
| Find all providers in zip 28223 | ||||
| Taxonomy Code | 261QS1000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Student Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780968131 | Brocker Health Center/ Unc Charlotte | Clinic/Center | 9201 University City Blvd, Charlotte, NC 28223-0001 | 2011-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700439023 | Fayetteville State University | Clinic/Center | 1200 Murchison Road, Fayetteville State University The, Fayetteville, NC 28301-4252 | 2019-07-17 |
| 1497132963 | Wingate University | Clinic/Center | 109 N. Camden Rd, Wingate, NC 28174 | 2015-05-04 |
| 1144649948 | Winston-salem State University | Clinic/Center | 1250 S Mlk Jr Dr, Winston Salem, NC 27107-1370 | 2014-04-09 |
| 1538394358 | The University of North Carolina At Asheville | Clinic/Center | One University Heights, Weizenblatt Building, Asheville, NC 28804-8514 | 2009-05-22 |
| 1407038615 | The James A Taylor Student Health Services Sports Medicine Department | Clinic/Center | The James A Taylor Student Health Services Cb# 7470, The University of North Carolina At Chapel Hill, Chapel Hill, NC 27599-7470 | 2007-11-29 |
| 1083807325 | Adolescent Care Center | Clinic/Center | 88 Us Highway 158 W, Gatesville, NC 27938-9438 | 2007-08-21 |
| 1578764312 | Hope Physicians | Clinic/Center | 2502 N Herritage Street, Suite A, Kinston, NC 28501-3567 | 2007-05-30 |
| 1033321005 | Anna Gove Student Health Services | Clinic/Center | 107 Gray Dr., Greensboro, NC 27402 | 2007-05-04 |
| 1073733390 | Davidson College Student Health Service | Clinic/Center | 514 N. Main St, Davidson, NC 28036 | 2007-04-27 |
| 1053452953 | Wake Forest University Student Health Service | Clinic/Center | 1834 Reynolda Road, Mackie Health Center - Reynolds Gym - Wingate Rd. Wfu, Winston-salem, NC 27106 | 2007-02-12 |
| Find all providers with the same taxonomy | ||||
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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.