BROC D ASTILL


Address: 2131 S 17th St, Wilmington, NC 28401-7407
Phone: 9103437000

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).

Provider Overview

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

Taxonomy

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

Provider Secondary Practice Location

Address Telephone Number Fax Number
19665 N 48th Ln, Glendale, AZ 853085159 5714191155

Office Location

Street Address 2131 S 17TH ST
City WILMINGTON
State NC
Zip Code 28401-7407

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City WILMINGTON
Zip Code 28401

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Dataset Information

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.

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