BROC D ASTILL (NPI# 1689293300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689293300 |
| Entity Type | Individual |
| Full Name | BROC D ASTILL |
| Credential | DO |
| Practice Address |
2131 S 17th St Wilmington NC 28401-7407 |
| Practice Telephone | 9103437000 |
| Practice Fax Number | 9106675650 |
| Mailing Telephone | 9103437000 |
| Mailing Fax Number | 9106675650 |
| Enumeration Date | 2020-04-13 |
| Last Update Date | 2020-04-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | 261428 | NC | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 19665 N 48th Ln, Glendale, AZ 853085159 | 5714191155 |
| Street Address |
2131 S 17TH ST |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28401-7407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992708747 | Wilmington Anesthesiologists Pllc | Anesthesiology | 2131 S 17th St, Wilmington, NC 28401-7407 | 2005-05-24 |
| 1316548159 | Thomas Martin Leighton | Nurse Practitioner | 2131 S 17th St, Wilmington, NC 28401-7407 | 2020-11-06 |
| 1902406176 | Jeff Marsh | Registered Nurse | 2131 S 17th St, Wilmington, NC 28401-7407 | 2020-10-27 |
| 1629685664 | Bobbie Sheatsley | Nurse Anesthetist, Certified Registered | 2131 S 17th St, Wilmington, NC 28401-7407 | 2020-09-24 |
| 1699393504 | Megan Grogan | Nurse Anesthetist, Certified Registered | 2131 S 17th St, Wilmington, NC 28401-7407 | 2020-07-07 |
| 1215556550 | Salman Khan | Student in an Organized Health Care Education/Training Program | 2131 S 17th St, Wilmington, NC 28401-7407 | 2020-04-15 |
| 1760001028 | John William Miller Jr. | Student in an Organized Health Care Education/Training Program | 2131 S 17th St, Wilmington, NC 28401-7407 | 2020-04-15 |
| 1588283246 | Amanda Kristin Briese | Student in an Organized Health Care Education/Training Program | 2131 S 17th St, Wilmington, NC 28401-7407 | 2020-04-13 |
| 1467071423 | Siten Patel | Student in an Organized Health Care Education/Training Program | 2131 S 17th St, Wilmington, NC 28401-7407 | 2020-04-10 |
| 1215566831 | Justin David Leavitt | Student in an Organized Health Care Education/Training Program | 2131 S 17th St, Wilmington, NC 28401-7407 | 2020-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275002461 | Thrivetothrive, LLC | Physical Therapist | 1606 Physicians Drive, Inside Promina Health, Wilmington, NC 28401 | 2018-11-16 |
| 1841787454 | Kevin Christopher Panebianco | Family Medicine | 1911 S 17th St Ste 130a, Wilmington, NC 28401 | 2018-04-18 |
| 1518472588 | Michelle Bruin | Family Medicine | 415 S. 2nd Street, Wilmington, NC 28401 | 2017-12-12 |
| 1639617343 | Anna Farwell | Behavior Technician | 3904 Oleander Dr. Suite 102, Wilmington, NC 28401 | 2017-02-02 |
| 1588034144 | Dimitri Zivko Pitovski | Allergy & Immunology | 1099 Medical Center Dr Unit 100b, Wilmington, NC 28401 | 2015-09-25 |
| 1629457007 | Megan Havel | Counselor | 1512 E Lakeshore Drive, Wilmington, NC 28401 | 2015-05-19 |
| 1154709251 | Lance Hutchens | Dentist | 1611 Doctors Cir, Wilmington, NC 28401 | 2015-05-11 |
| 1609281161 | Diane Pittman Whitford | Counselor | 313 Walnut St., Wilmington, NC 28401 | 2014-06-24 |
| 1942550728 | Bryan Cole Chalk | Nurse Anesthetist, Certified Registered | 2131 S 17th Street, Wilmington, NC 28401 | 2012-09-19 |
| 1740566546 | Valerie Baars | Pharmacist | 2302 S 17th Street, Wilmington, NC 28401 | 2011-10-25 |
| Find all providers in zip 28401 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565563 | Hanna Kreinbrink | Student in an Organized Health Care Education/Training Program | 365 Darlington Ave Unit 303, Wilmington, NC 28403-1371 | 2020-10-13 |
| 1548868656 | Ashton Whitley | Student in an Organized Health Care Education/Training Program | 5205 Lord Tennyson Dr, Wilmington, NC 28405-2622 | 2020-10-12 |
| 1114535275 | Khalid Alabid | Student in an Organized Health Care Education/Training Program | 133 Salem Ct, Wilmington, NC 28411-9745 | 2020-07-15 |
| 1386261964 | Harjas S Aulakh | Student in an Organized Health Care Education/Training Program | 3549 Silverside Rd # E403, Wilmington, DE 19810-4922 | 2020-06-30 |
| 1437776499 | Erin Amira Feehan | Student in an Organized Health Care Education/Training Program | 2502 White Rd, Wilmington, NC 28411-6134 | 2020-06-25 |
| 1851916753 | Denia Cislo | Student in an Organized Health Care Education/Training Program | 3811 Merestone Dr, Wilmington, NC 28412-5184 | 2020-06-16 |
| 1689294894 | Sheena Sikka | Student in an Organized Health Care Education/Training Program | 401 Justison St Apt 203, Wilmington, DE 19801-5291 | 2020-04-17 |
| 1437779683 | Minal Aundhia | Student in an Organized Health Care Education/Training Program | Sidney Kimmel Medical College, 1600 Rockland Road Pediatric Residency Program, Wilmington, DE 19803 | 2020-04-17 |
| 1457980955 | Faisal Shabbir | Student in an Organized Health Care Education/Training Program | 701 N Clayton St Fl Street2, Wilmington, DE 19805-3165 | 2020-04-06 |
| 1669000311 | Kye Matthew Williams | Student in an Organized Health Care Education/Training Program | 501 W 14th St # A, Wilmington, DE 19801-1013 | 2020-03-30 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28401 |
Please comment or provide details below to improve the information on BROC D ASTILL.
| 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.