IREDELL PHYSICIAN NETWORK LLC (NPI# 1780822288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780822288 |
| Entity Type | Organization |
| Organization Name | IREDELL PHYSICIAN NETWORK LLC |
| Other Organization Name | BREMNOR FAMILY MEDICINE |
| Practice Address |
136 Corporate Park Dr Suite 3h Mooresville NC 28117-6959 |
| Mailing Address |
Po Box 25867 Winston Salem NC 27114-5867 |
| Practice Telephone | 7046609780 |
| Enumeration Date | 2009-01-22 |
| Last Update Date | 2010-05-12 |
| Authorized Official Name | MS. ANNA PURCELL (DIRECTOR) |
| Authorized Official Telephone | 7048784569 |
| Is Organization Subpart | Y |
| Parent Organization Name | IREDELL PHYSICIAN NETWORK LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5950729 | 05 |
| Other Name | Type Code |
|---|---|
| Bremnor Family Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154609147 | Iredell Physician Network LLC | Internal Medicine | 1714 Davie Ave, Statesville, NC 28677-3522 | 2011-07-26 |
| 1639318751 | Iredell Physician Network LLC | Family Medicine | 955 West Memorial Highway, Harmony, NC 28634-9352 | 2009-02-12 |
| 1487840427 | Iredell Physician Network LLC | Family Medicine | 774 Hartness Rd, Statesville, NC 28677-3376 | 2007-09-24 |
| 1578073631 | Iredell Physician Network LLC | Clinic/Center | 707 Bryant St, Statesville, NC 28677-4142 | 2017-10-03 |
| 1497139398 | Iredell Physician Network LLC | Clinic/Center | 3210 Harmony Hwy, Harmony, NC 28634-9161 | 2015-07-10 |
| 1124402946 | Iredell Physician Network LLC | Clinic/Center | 1668 Nc Highway 16 S, Taylorsville, NC 28681-6285 | 2015-07-10 |
| 1811381593 | Iredell Physician Network LLC | General Practice | 557 Brookdale Dr, Statesville, NC 28677-4107 | 2015-03-20 |
| 1235410960 | Iredell Physician Network LLC | Internal Medicine | 738 Bryant St Ste A, Statesville, NC 28677-4189 | 2011-09-08 |
| 1235433806 | Iredell Physician Network LLC | Internal Medicine | 757 Bryant St, Statesville, NC 28677-4142 | 2010-12-22 |
| 1205136595 | Iredell Physician Network LLC | Internal Medicine | 510 N Main St, Troutman, NC 28166-9529 | 2010-11-02 |
| Street Address |
136 CORPORATE PARK DR SUITE 3H |
| City | MOORESVILLE |
| State | NC |
| Zip Code | 28117-6959 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649887126 | Aaron Altamirano | Physical Therapist | 136 Corporate Park Dr, Mooresville, NC 28117-6959 | 2020-09-28 |
| 1578189270 | Ellis B Wall | Physical Therapist | 136 Corporate Park Dr, Mooresville, NC 28117-6959 | 2020-06-19 |
| 1922641539 | Isha Patel | Physical Therapist | 136 Corporate Park Dr, Mooresville, NC 28117-6959 | 2019-10-26 |
| 1063901668 | Angela Mary Tidwell | Occupational Therapist | 136 Corporate Park Dr, Mooresville, NC 28117-6959 | 2018-05-09 |
| 1679926497 | Priya Pastakia | Physical Therapist | 136 Corporate Park Dr, Mooresville, NC 28117-6959 | 2016-07-16 |
| 1366845661 | Carrie Lynne Magoulas | Physical Therapist | 136 Corporate Park Dr, Suite A, Mooresville, NC 28117-6959 | 2014-09-30 |
| 1871860767 | Saylor Physical Therapy | Exclusive Provider Organization | 136 Corporate Park Dr, Suite A, Mooresville, NC 28117-6959 | 2011-11-21 |
| 1396070942 | Iredell Physician Network LLC | Obstetrics & Gynecology | 136 Corporate Park Dr, Suite 3h, Mooresville, NC 28117-6959 | 2009-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891356648 | Teleoptometric Service, P.C. | Optometrist | 392 Talbert Rd, Mooresville, NC 28117 | 2019-06-24 |
| 1992268544 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 392 Talbert Rd., Mooresville, NC 28117 | 2019-04-10 |
| 1982178042 | Langtree Endoscopy Center, LLC | Clinic/Center | 106 Alexander Bank Drive, Suite 101, Mooresville, NC 28117 | 2019-01-11 |
| 1679044416 | May and Associates Therapy Center | Psychologist | 862 Brawley School Road, Suite 202, Mooresville, NC 28117 | 2018-12-05 |
| 1700360153 | Sabrina Chabot Hutchinson | Physical Therapist | 508 Williamson Rd, Suite 200, Mooresville, NC 28117 | 2018-09-21 |
| 1992284327 | Presbyterian Imaging Centers LLC | Radiology | 106 Langtree Village Dr # 201, Mooresville, NC 28117 | 2018-08-07 |
| 1073091310 | Jenelle Donzelli Nemeth | Registered Nurse | 102 Sapphire Drive, Mooresville, NC 28117 | 2018-07-30 |
| 1912497496 | Patsharx LLC | Pharmacy | 480 River Hwy, Suite A, Mooresville, NC 28117 | 2018-05-10 |
| 1427502434 | Counseling Service At Lake Norman, Pllc | Community/Behavioral Health | 18117 W. Catawba Avenue, Cornelius, NC 28117 | 2016-08-08 |
| 1447605928 | Renewal Counseling, Pllc | Counselor | 125 Commerce Park Rd., Suite 102, Mooresville, NC 28117 | 2016-05-03 |
| Find all providers in zip 28117 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868155 | Novant Medical Group, Inc. | Family Medicine | 106 Corporate Park Dr Ste 200, Mooresville, NC 28117-7134 | 2020-07-08 |
| 1649890468 | Carolinas Physicians Network Inc | Family Medicine | 150 Professional Park Dr Ste 400, Mooresville, NC 28117-5604 | 2020-04-22 |
| 1275080954 | Carolinas Physicians Network Inc | Family Medicine | 119-d-1 Marketplace Avenue, Mooresville, NC 28117-9157 | 2016-09-09 |
| 1063869469 | Amber Hicks-thibodeau | Family Medicine | 798 Oak Ridge Farm Hwy. Suite A, Mooresville, NC 28115 | 2016-05-16 |
| 1982043535 | Gabriel Cyrus Fitton | Family Medicine | 157 Professional Park Dr Ste A, Mooresville, NC 28117-5606 | 2013-06-17 |
| 1245573807 | Anthony John Castiglia | Family Medicine | 570 Williamson Rd, Suite C, Mooresville, NC 28117-9118 | 2013-04-02 |
| 1851678767 | Mooresville Ppm LLC | Family Medicine | 128 Argus Ln, Suite G, Mooresville, NC 28117-6972 | 2011-11-05 |
| 1790068096 | Urgent Cares of America North Carolina Inc. | Family Medicine | 107 Commons Dr Ste A, Mooresville, NC 28117-9262 | 2011-09-22 |
| 1275781726 | Carolinas Physicians Network, Inc. | Family Medicine | 478 Williamson Road, Ste B, Mooresville, NC 28117-9109 | 2008-09-08 |
| 1699950147 | Ronda Lynn Wells | Family Medicine | 8417 Campbell Ct, Mooresville, IN 46158-7720 | 2008-01-03 |
| Find all providers in MOORESVILLE | ||||
| City | MOORESVILLE |
| Zip Code | 28117 |
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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.