DR. BRETON C JUBERG (NPI# 1376517243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376517243 |
| Entity Type | Individual |
| Full Name | DR. BRETON C JUBERG |
| Credential | MD |
| Practice Address |
4300 Fayetteville Rd Lumberton NC 28358-2677 |
| Mailing Address |
2600 N Elm St Lumberton NC 28358-3011 |
| Practice Telephone | 9106083078 |
| Practice Fax Number | 9106083079 |
| Mailing Telephone | 9106715367 |
| Mailing Fax Number | 9107383764 |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2017-10-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 34367 | NC | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | MD2014-0963 | NM | Allopathic & Osteopathic Physicians |
| Street Address |
4300 FAYETTEVILLE RD |
| City | LUMBERTON |
| State | NC |
| Zip Code | 28358-2677 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407855034 | Mary M Black | Dietitian, Registered | 4300 Fayetteville Rd, Lumberton, NC 28358-2677 | 2005-07-15 |
| 1083099568 | Mandesa Malika Smith | Registered Nurse | 4300 Fayetteville Rd, Lumberton, NC 28358 | 2015-07-24 |
| 1669600912 | Lashauna R Deese | Obstetrics & Gynecology | 4300 Fayetteville Rd, Lumberton, NC 28358-2677 | 2009-06-25 |
| 1699902650 | Southeastern Regional Physician Services | Clinic/Center | 4300 Fayetteville Rd, Lumberton, NC 28358-2677 | 2009-06-17 |
| 1710104708 | Connie Lee Canady | Midwife | 4300 Fayetteville Rd, Lumberton, NC 28358-2677 | 2007-04-19 |
| 1215153168 | Lisa Joy Blake | Advanced Practice Midwife | 4300 Fayetteville Rd, Lumberton, NC 28358-2677 | 2007-04-18 |
| 1689664336 | Donald R Mckinley | Obstetrics & Gynecology | 4300 Fayetteville Rd, Lumberton, NC 28358-2677 | 2005-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649812397 | Monarch | Community/Behavioral Health | 13128 Serenity Street, Huntersville, NC 28358 | 2019-10-15 |
| 1114577194 | Lashonda Patrice Bostic | Social Worker | 4719 Fayetteville Road, Lumberton, NC 28358 | 2019-09-12 |
| 1780232389 | Rosaline Whittington | Technician | 39 Sibley Road, Lumberton, NC 28358 | 2019-08-28 |
| 1790343168 | Emily Graham | Social Worker | 401 S. 27th Street, Lumberton, NC 28358 | 2019-05-31 |
| 1316420722 | Karen Lynn Warwick | Nurse Practitioner | 600 Farringdom St # Ab, Lumberton, NC 28358 | 2018-09-11 |
| 1982184149 | Virginia Feldick Hampton | Speech-Language Pathologist | Coastal Therapy Partners, 210 Liberty Hill Road, Lumberton, NC 28358 | 2018-08-17 |
| 1366941882 | Ashlynn Faircloth Mckeithan | Occupational Therapist | 210 Liberty Hill Road, Lumberton, NC 28358 | 2018-02-10 |
| 1992153506 | Matthew Mercer | Nurse Anesthetist, Certified Registered | 2703 Riverwood Ave, Lumberton, NC 28358 | 2016-05-25 |
| 1295100964 | Chosen Health Care Services Inc | In Home Supportive Care | 705b Wesley Pines Road, Lumberton, NC 28358 | 2015-12-07 |
| 1346626173 | Brittany Renea Chavis | Social Worker | 888 Wire Grass Road, Lumberton, NC 28358 | 2015-08-04 |
| Find all providers in zip 28358 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578953626 | Lumberton Obstetrics& Gynecology Associates Pa | Obstetrics & Gynecology | 1003 Woodridge Dr, Lumberton, NC 28358-3328 | 2015-01-28 |
| 1154557445 | Bernard Samuels | Obstetrics & Gynecology | 36 C Newton Rd, Lumberton, MS 39455-9060 | 2009-06-01 |
| 1932318623 | Lumberton Obstetrics & Gynecology Associates Pa | Obstetrics & Gynecology | 1003 Woodridge Dr., Lumberton, NC 28358 | 2007-05-21 |
| 1669537601 | Johnnie Wright Jr. | Obstetrics & Gynecology | Southeastern Women's Healthcare, 4300 Fayetteville Road, Lumberton, NC 28358-2677 | 2006-12-27 |
| 1881618130 | Robin Meadows | Obstetrics & Gynecology | 1636 Route 38 Eayrestown Road, Lumberton, NJ 08048 | 2006-07-27 |
| 1326074022 | Parveen Rashid | Obstetrics & Gynecology | 1617 Route 38, Pinelands Ob Gyn Associates, Lumberton, NJ 08048 | 2006-06-24 |
| 1992750129 | Regional Womens Health Group LLC | Obstetrics & Gynecology | 1636 Rt 38 & Eayrestown Rd, Lumberton, NJ 08048 | 2006-05-24 |
| 1417954025 | Walter Neal Jr. | Obstetrics & Gynecology | 725 Oakridge Blvd, Ste C-1, Lumberton, NC 28358-2375 | 2005-06-29 |
| 1336797349 | Southeastern Regional Physician Services | Obstetrics & Gynecology | 4901 Dawn Dr Ste 1200, Lumberton, NC 28360-0004 | 2019-09-03 |
| 1831687912 | Southeastern Regional Physician Services | Obstetrics & Gynecology | 800 Oakridge Blvd, Lumberton, NC 28358-2330 | 2018-04-25 |
| Find all providers in LUMBERTON | ||||
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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.