BRIAN S DODD (NPI# 1558476887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558476887 |
| Entity Type | Individual |
| Full Name | BRIAN S DODD |
| Credential | PAC |
| Practice Address |
232 Sharon Ave Nw Suite 400 Lenoir NC 28645-4326 |
| Mailing Address |
232 Sharon Ave Nw Lenoir NC 28645-4326 |
| Practice Telephone | 8287587091 |
| Practice Fax Number | 8287587058 |
| Mailing Telephone | 8287587091 |
| Mailing Fax Number | 8287587058 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2016-04-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PA331 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
0010-04342 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | BLUE CROSS OF IDAHO GROUP | 8K248 | 01 |
| ID | 806341400 | 05 | |
| ID | REGENCE BLUE SHIELD | 000010030444 | 01 |
| REGENCE BLUE SHIELD | 000010162910 | 01 | |
| OR | OMAP | 194498 | 01 |
| ID | BLUE CROSS OF IDAHO | PAMD9 | 01 |
| WA | WA DEPARTMENT OF LABOR | 029674 | 01 |
| BLUE CROSS OF IDAHO | PAF45 | 01 |
| Street Address |
232 SHARON AVE NW SUITE 400 |
| City | LENOIR |
| State | NC |
| Zip Code | 28645-4326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326092271 | Jeffrey Paul Keverline | Orthopaedic Surgery | 232 Sharon Ave Nw, Lenoir, NC 28645-4326 | 2006-05-22 |
| 1811481948 | Matthew Taylor Yelverton | Physician Assistant | 232 Sharon Ave Nw, Lenoir, NC 28645-4326 | 2018-06-21 |
| 1699122184 | Emergeortho, Pa | Durable Medical Equipment & Medical Supplies | 232 Sharon Ave Nw, Lenoir, NC 28645-4326 | 2016-05-16 |
| 1437523099 | Jeffrey D Price | Physician Assistant | 232 Sharon Ave Nw, Lenoir, NC 28645-4326 | 2015-11-19 |
| 1235575085 | Jodie Johnson Rogers | Physical Therapist | 232 Sharon Ave Nw, Lenoir, NC 28645-4326 | 2013-05-21 |
| 1467587782 | Kevin A Borrelli | Physical Therapist | 232 Sharon Ave Nw, Lenoir, NC 28645-4326 | 2007-02-23 |
| 1508933045 | Deborah J Craig | Physical Therapist | 232 Sharon Ave Nw, Lenoir, NC 28645-4326 | 2006-11-29 |
| 1003844903 | Penny L. Mitchell | Nurse Practitioner | 232 Sharon Ave Nw, Lenoir, NC 28645-4326 | 2006-06-29 |
| 1457307274 | James Edward Stanislaw | Orthopaedic Surgery | 232 Sharon Ave Nw, Lenoir, NC 28645-4326 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477174597 | Healthstat Onsite Clinic Mccreary Modern Plant 6 | Preventive Medicine | 2961 Rocky Road, Lenoir, NC 28645 | 2020-04-29 |
| 1912485780 | Brandi Fitzgerald Newell | Nurse Practitioner | 902 Kirkwood Street Nw, Lenoir, NC 28645 | 2018-08-02 |
| 1568911345 | Kimberly Fletcher | Physical Therapist | 1031 Morganton Blvd. Sw, Lenoir, NC 28645 | 2016-09-22 |
| 1093115743 | Dana May Yang | Pharmacist | 875 Blowing Road Blvd, Lenior, NC 28645 | 2014-08-31 |
| 1659780542 | Brinkley & Associates of Lenoir | Dentist | 230 Morganton Boulevard Sw, Lenoir, NC 28645 | 2014-08-05 |
| 1194148858 | Cheryl Ann Simpson | Contractor | 7951 Rocky Knob Rd, Lenoir, NC 28645 | 2014-01-30 |
| 1013266048 | Mccreary Cancer Center | Clinic/Center | 212 Mulberry Street Sw, Lenoir, NC 28645 | 2012-09-06 |
| 1356651145 | Anthony Kwasi Essien | Pharmacist | 102 Harper Ave., Lenoir, NC 28645 | 2010-10-14 |
| 1033344866 | Thomas J Young | Surgery | 401 Mulberry Street, Sw, Suite 202, Lenoir, NC 28645 | 2009-05-22 |
| 1821238155 | Mark C Kammer | Physical Therapist | 1041 Morganton Blvd, Ste 200, Lenoir, NC 28645 | 2009-02-26 |
| Find all providers in zip 28645 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174170575 | Katherine Mccullough | Physician Assistant | Duke University Medicine Center 2301 Erwin Rd, Durham, NC 27710-0001 | 2019-08-20 |
| 1740845148 | Brenda Kay Dushek | Physician Assistant | 20 Medical Campus Dr Nw Ste 104, Supply, NC 28462-4094 | 2019-05-01 |
| 1851955579 | Morgan Elizabeth Bridgers | Physician Assistant | 4051 Burnett Womack Dept of Surgery Cb 7050, Chapel Hill, NC 27599-1843 | 2019-04-29 |
| 1265947725 | Molly Cunningham Pradhan | Physician Assistant | 2301 Erwin Road Dumc 2945, Durham, NC 27710-0001 | 2017-12-06 |
| 1497273700 | Joseph Cameron Jones | Physician Assistant | 404 Westwood Ave Ste 303, High Point, NC 27262-4315 | 2017-09-07 |
| 1871011106 | Tashianna Renee Stockton | Physician Assistant | 101 Manning Drive Cb #7600, Chapel Hill, NC 27599-0001 | 2017-09-07 |
| 1205365335 | Joe Gates | Physician Assistant | 408 8th St Ste 1, North Wilkesboro, NC 28659-4167 | 2017-06-12 |
| 1023547585 | Audrey Catherine Fortezzo | Physician Assistant | 581 Leroy George Dr Ste 300, Clyde, NC 28721-8085 | 2017-06-08 |
| 1184013294 | Danielle King | Physician Assistant | 3611 N Duke Street, Durham, NC 27704 | 2015-01-13 |
| 1629474978 | Gary Lee Aldrich Jr. | Physician Assistant | 103a Mcalpine Ln, Laurinburg, NC 28352-4637 | 2014-11-14 |
| 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.