BRADLEY MERRITT (NPI# 1578785002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578785002 |
| Entity Type | Individual |
| Full Name | BRADLEY MERRITT |
| Credential | M.D. |
| Practice Address |
101 Manning Dr Rm 1107g W Wing Chapel Hill NC 27514 |
| Practice Telephone | 9199661072 |
| Mailing Telephone | 9199661072 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2011-12-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | 2007-00015 | NC | Allopathic & Osteopathic Physicians |
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
200700015 | NC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164657649 | Bradley Saunders Merritt | Internal Medicine | 761 E Main St, Colquitt, GA 39837-5107 | 2009-05-27 |
| 1992359566 | Bradley Merritt | Dentist | 1865 Coolidge Hwy, Berkley, MI 48072-3042 | 2019-07-31 |
| 1023082062 | Bradley S Merritt | Physical Medicine & Rehabilitation | 3131 Troup Hwy, Tyler, TX 75701-8350 | 2006-02-15 |
| Street Address |
101 MANNING DR RM 1107G W WING |
| City | CHAPEL HILL |
| State | NC |
| Zip Code | 27514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346243466 | Kimberly Anne Kasow Wichlan | Pediatrics | 101 Manning Dr, Chapel Hill, NC 27599-0001 | 2005-05-23 |
| 1316547888 | Brittany Edmonson | Registered Nurse | 101 Manning Dr, Chapel Hill, NC 27514-4220 | 2020-10-26 |
| 1689273138 | Matthew Eaton Cornwell | Registered Nurse | 101 Manning Dr, Chapel Hill, NC 27514-4226 | 2020-10-25 |
| 1952900771 | Christina Rose Villanova | Dietitian, Registered | 101 Manning Dr, Chapel Hill, NC 27514-4220 | 2020-10-22 |
| 1861091134 | Yulia Nemtsev | Registered Nurse | 101 Manning Dr, Chapel Hill, NC 27514-4220 | 2020-10-19 |
| 1811595556 | Alison Baron-johnson | Student in an Organized Health Care Education/Training Program | 101 Manning Dr, Chapel Hill, NC 27514-4220 | 2020-10-14 |
| 1780282947 | Matthew Fram | Student in an Organized Health Care Education/Training Program | 101 Manning Dr, Chapel Hill, NC 27514-4220 | 2020-10-10 |
| 1508471806 | Emily Hartman | Nurse Anesthetist, Certified Registered | 101 Manning Dr, Chapel Hill, NC 27514-4226 | 2020-09-13 |
| 1013522424 | Hannah Chicowlas Morgan | Nurse Practitioner | 101 Manning Dr, Chapel Hill, NC 27514-4220 | 2020-09-11 |
| 1508479270 | Dhruthi Patel | Nurse Anesthetist, Certified Registered | 101 Manning Dr, Chapel Hill, NC 27514-4220 | 2020-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639790900 | Ellen Cowherd | Student in an Organized Health Care Education/Training Program | Unc Children's Primary Care, 1512 East Franklin Street, Suite 100, Chapel Hill, NC 27514 | 2020-04-28 |
| 1033739586 | Elizabeth Marie O'neil | Student in an Organized Health Care Education/Training Program | Unc Children's Primary Care Clinic, 1512 E. Franklin Street, Suite 100, Chapel Hill, NC 27514 | 2020-04-24 |
| 1235759986 | Stephanie Crawford Gehle | Student in an Organized Health Care Education/Training Program | 1512 E. Franklin Street, Suite 100, Chapel Hill, NC 27514 | 2020-04-23 |
| 1710507462 | Mustafa Al-hassan Abid | Student in an Organized Health Care Education/Training Program | Unc Hospitals -- Office of Graduate Medical Education, 101 Manning Drive, Cb#7600, Chapel Hill, Nc, 27514, Chapel Hill, NC 27514 | 2020-04-23 |
| 1114547775 | Xavier Joseph Williams | Student in an Organized Health Care Education/Training Program | Unc Children's Primary Care Clinic 1512 E. Franklin St., Suite 100, Chapel Hill, NC 27514 | 2020-04-23 |
| 1043871312 | Katelyn R Sclafani | Social Worker | 250 S Estes Dr Apt 70, Chapel Hill, NC 27514 | 2019-06-26 |
| 1730746504 | Jacob Hall | Student in an Organized Health Care Education/Training Program | Suite 295, Radonc Admin, Nc Cancer Hospital, 101 Manning Drive, Chapel Hill, NC 27514 | 2019-05-28 |
| 1548721046 | Aman Kumar | Surgery | Unc Hospitals Department of Surgery, 101 Manning Drive, Chapel Hill, NC 27514 | 2019-03-27 |
| 1922568773 | Christina Mcswain Burke | Social Worker | Unc Center for Women's Mood Disorders, 77 Vilcom Center Dr.; Dawson Hall; Suite 300, Chapel, NC 27514 | 2019-03-20 |
| 1881160158 | Ryan Hall | Pharmacist | 2110 Estes Drive, Chapel Hill, NC 27514 | 2018-10-15 |
| Find all providers in zip 27514 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508846403 | Rajat Varma | Dermatology | 410 Market St Ste 400, Unc Dept of Dermatology, Chapel Hill, NC 27516-4061 | 2006-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942713052 | Vieta Dermatology, Pllc | Dermatology | 289 Olmsted Blvd Ste 5, Pinehurst, NC 28374-8730 | 2017-11-10 |
| 1245751403 | Bluewater Dermatology and Skin Cancer Center Pa | Dermatology | 814 Spivey Rd, Whiteville, NC 28472-8736 | 2017-06-28 |
| 1831330893 | Landon Everett Stigall | Dermatology | 6752 Rock Spring Rd Ste 201, Wilmington, NC 28405 | 2009-03-20 |
| 1780772541 | Jenny L. Stone | Dermatology | 203 Mocksville Ave Ste B, Salisbury, NC 28144-3360 | 2006-10-10 |
| 1528035722 | Marc Ronald Carruth | Dermatology | 2615 E 7th St, Charlotte, NC 28204-4376 | 2006-03-07 |
| 1215902663 | Frederick Walter Gourdin | Dermatology | 78 Long Shoals Rd, Arden, NC 28704-7782 | 2006-02-21 |
| 1437130523 | Greg Edwin Viehman | Dermatology | 710 Military Cutoff Rd, Suite 200, Wilmington, NC 28405-2375 | 2005-11-07 |
| 1598759482 | Eastern Dermatology, P.a. | Dermatology | 420 Spring Forest Rd, Greenville, NC 27834-7244 | 2005-09-07 |
| 1285636076 | Charles S Johnson | Dermatology | 315 19th St Se, Hickory, NC 28602-4230 | 2005-08-11 |
| 1134123847 | Audrey F Echt | Dermatology | 10931 Raven Ridge Rd, Ste 101, Raleigh, NC 27614-6499 | 2005-06-09 |
| Find all providers with the same taxonomy | ||||
| City | CHAPEL HILL |
| Zip Code | 27514 |
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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.