BLAKE BRIGGS (NPI# 1548792153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548792153 |
| Entity Type | Individual |
| Full Name | BLAKE BRIGGS |
| Practice Address |
1370 W D St North Wilkesboro NC 28659-3506 |
| Mailing Address |
Wake Forest Baptist Medical Ctr Winston Salem NC 27157-0001 |
| Practice Telephone | 3367162255 |
| Mailing Telephone | 3367165222 |
| Mailing Fax Number | 3367166415 |
| Enumeration Date | 2017-04-02 |
| Last Update Date | 2019-05-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 2018-02101 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
1370 W D ST |
| City | NORTH WILKESBORO |
| State | NC |
| Zip Code | 28659-3506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699778639 | John C Canon | Emergency Medicine | 1370 W D St, North Wilkesboro, NC 28659-3506 | 2005-05-23 |
| 1609428887 | Erica Mathis Shore | Nurse Practitioner | 1370 W D St, North Wilkesboro, NC 28659-3506 | 2019-07-09 |
| 1275028011 | Kaisey Hampton Medley | Physician Assistant | 1370 W D St, North Wilkesboro, NC 28659-3506 | 2018-06-25 |
| 1679007066 | Jenna Kay Baker | Physician Assistant | 1370 W D St, North Wilkesboro, NC 28659 | 2017-04-12 |
| 1881053064 | Jeffrey Forsyth | Physician Assistant | 1370 W D St, North Wilkesboro, NC 28659-3506 | 2016-02-17 |
| 1093190795 | Russell Nathan Worthen | Nurse Practitioner | 1370 W D St, North Wilkesboro, NC 28659-3506 | 2015-07-23 |
| 1457731028 | Mitchell Adams | Physician Assistant | 1370 W D St, North Wilkesboro, NC 28659-3506 | 2015-06-09 |
| 1629455258 | Willard Jeffrey Shew | Nurse Anesthetist, Certified Registered | 1370 W D St, North Wilkesboro, NC 28659-3506 | 2015-05-04 |
| 1194116756 | Joshua Isaac Troyer | Nurse Anesthetist, Certified Registered | 1370 W D St, North Wilkesboro, NC 28659-3506 | 2015-02-17 |
| 1831599208 | Heather Goodwyn | Nurse Anesthetist, Certified Registered | 1370 W D St, North Wilkesboro, NC 28659-3506 | 2014-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013579689 | Lisa C Carr | Social Worker | 1400 Willow Ln # C61-2, North Wilkesboro, NC 28659 | 2019-07-03 |
| 1780141507 | Brenda Barber | Counselor | 200 Northview Plaza, North Wilkesboro, NC 28659 | 2019-02-28 |
| 1639696941 | Lifespan Incorporated | Community/Behavioral Health | 2070 River Road, North Wilkesboro, NC 28659 | 2017-08-28 |
| 1184146011 | Daymark Recovery Services Inc | Community/Behavioral Health | 200 C.c. Wright School Road, Classrooms 126, 127, North Wilkesboro, NC 28659 | 2017-07-12 |
| 1033568258 | Rgm Al Holdings, LLC | Assisted Living Facility | 240 Independence Ave, North Wilkesboro, NC 28659 | 2016-06-08 |
| 1376997999 | Hayden Church | Driver | 29 Boone Trail, North Wilkesboro, NC 28659 | 2016-04-20 |
| 1033563192 | Nathan Grant Davis | Emergency Medicine | Wake Forest Baptist Health- Wilkes Medical Center, 1370 W D St, North Wilkesboro, NC 28659 | 2016-04-14 |
| 1720425408 | Lindsay Brooke Spears | Dentist | 1915 West Park Drive Ste 104, Wilkes Public Health Dental West, North Wilkesboro, NC 28659 | 2013-06-04 |
| 1881983419 | Pruitthealth Hospice, Inc. | Hospice Care, Community Based | 902 West D St, Ste B, North Wilkesboro, NC 28659 | 2011-04-05 |
| 1275838096 | Barium Springs Home for Children | Community Based Residential Treatment Facility, Mental Illness | 517 Boston Ave, North Wilkesboro, NC 28659 | 2011-01-26 |
| Find all providers in zip 28659 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033563192 | Nathan Grant Davis | Emergency Medicine | Wake Forest Baptist Health- Wilkes Medical Center, 1370 W D St, North Wilkesboro, NC 28659 | 2016-04-14 |
| 1699778639 | John C Canon | Emergency Medicine | 1370 W D St, North Wilkesboro, NC 28659-3506 | 2005-05-23 |
| 1346477841 | Jennifer Ann Walker | Emergency Medicine | 1370 West D Street, Wake Forest University Health Sciences/wilkes Regional, North Wilkesboro, NC 28659-3506 | 2009-06-11 |
| 1811123656 | Saad Al-khatib | Emergency Medicine | 1370 W D St, North Wilkesboro, NC 28659-3506 | 2009-06-08 |
| 1649406794 | Matthew Cline | Emergency Medicine | 1370 W D St, North Wilkesboro, NC 28659-3506 | 2009-06-03 |
| 1164685335 | Alice Marie Horrell | Emergency Medicine | 1370 W D St, North Wilkesboro, NC 28659-3506 | 2008-07-08 |
| 1730341934 | Daniel Thrasher Horrell | Emergency Medicine | 1370 W D St, North Wilkesboro, NC 28659-3506 | 2008-06-28 |
| 1699936567 | Melissa L Downing | Emergency Medicine | 1370 W D St, Attn: Emergency Department, North Wilkesboro, NC 28659-3506 | 2008-06-23 |
| 1376704767 | William Daniel Alley | Emergency Medicine | 1370 W D St, North Wilkesboro, NC 28659-3506 | 2008-06-19 |
| 1619140449 | David Michael Holder | Emergency Medicine | 1370 W D St, North Wilkesboro, NC 28659-3506 | 2008-04-13 |
| Find all providers in NORTH WILKESBORO | ||||
| City | NORTH WILKESBORO |
| Zip Code | 28659 |
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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.