BROCKER HEALTH CENTER/ UNC CHARLOTTE (NPI# 1780968131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780968131 |
| Entity Type | Organization |
| Organization Name | BROCKER HEALTH CENTER/ UNC CHARLOTTE |
| Practice Address |
9201 University City Blvd Charlotte NC 28223-0001 |
| Practice Telephone | 7046877400 |
| Mailing Telephone | 7046877400 |
| Enumeration Date | 2011-10-04 |
| Last Update Date | 2011-10-04 |
| Authorized Official Name | MR. DAVID ROUSMANIERE (ADMINISTRATOR) |
| Authorized Official Telephone | 7046877418 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1000X |
Clinic/Center Specialization: Student Health |
4585 | NC | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306450887 | Brocker Health Center/ Unc Charlotte | Clinic/Center | 9201 University City Blvd Student Health Center, Charlotte, NC 28223-0001 | 2020-09-02 |
| Street Address |
9201 UNIVERSITY CITY BLVD |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28223-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508820614 | Abbey Thomas | Specialist/Technologist | 9201 University City Blvd, Belk 231, Charlotte, NC 28223 | 2006-04-14 |
| 1558968792 | Katrina Trinidad Gallo | Specialist/Technologist | 9201 University City Blvd, Charlotte, NC 28223-0001 | 2020-10-01 |
| 1043817281 | Robert Eachus | Specialist/Technologist | 9201 University City Blvd, Charlotte, NC 28223-0001 | 2020-10-01 |
| 1205440450 | University of North Carolina At Charlotte | Clinical Medical Laboratory | 9201 University City Blvd, Cameron 271, Charlotte, NC 28223-0001 | 2020-09-04 |
| 1568096089 | Shelley Linens | Specialist/Technologist | 9201 University City Blvd, Charlotte, NC 28223-0001 | 2020-02-24 |
| 1053943290 | Luke Donovan | Specialist/Technologist | 9201 University City Blvd, Charlotte, NC 28223-0001 | 2020-02-05 |
| 1972158129 | Tricia Turner | Specialist/Technologist | 9201 University City Blvd, Charlotte, NC 28223-0002 | 2019-08-05 |
| 1164947768 | Jessica Groleau | Psychologist | 9201 University City Blvd, Charlotte, NC 28223-0001 | 2017-08-04 |
| 1427402890 | Christopher Rogers | Pharmacist | 9201 University City Blvd, Charlotte, NC 28223-0001 | 2016-04-21 |
| 1740689884 | Tracy Beyer | Specialist/Technologist | 9201 University City Blvd, Charlotte, NC 28223-0001 | 2014-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306450887 | Brocker Health Center/ Unc Charlotte | Clinic/Center | 9201 University City Blvd Student Health Center, Charlotte, NC 28223-0001 | 2020-09-02 |
| 1427520485 | Rebeca Coletti | Behavior Technician | 8939 Cameron Blvd, Charlotte, NC 28223-0001 | 2018-12-31 |
| 1407240872 | Linda Probst | Specialist/Technologist | Department of Kinesiology, 9201 University City Blvd, Charlotte, NC 28223-0001 | 2015-03-24 |
| 1255626578 | Lydia Boldt Smith | Counselor | 9201 University City Blvd., Counseling, Charlotte, NC 28223-0001 | 2011-06-15 |
| Taxonomy Code | 261QS1000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Student Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306450887 | Brocker Health Center/ Unc Charlotte | Clinic/Center | 9201 University City Blvd Student Health Center, Charlotte, NC 28223-0001 | 2020-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700439023 | Fayetteville State University | Clinic/Center | 1200 Murchison Road, Fayetteville State University The, Fayetteville, NC 28301-4252 | 2019-07-17 |
| 1497132963 | Wingate University | Clinic/Center | 109 N. Camden Rd, Wingate, NC 28174 | 2015-05-04 |
| 1144649948 | Winston-salem State University | Clinic/Center | 1250 S Mlk Jr Dr, Winston Salem, NC 27107-1370 | 2014-04-09 |
| 1538394358 | The University of North Carolina At Asheville | Clinic/Center | One University Heights, Weizenblatt Building, Asheville, NC 28804-8514 | 2009-05-22 |
| 1407038615 | The James A Taylor Student Health Services Sports Medicine Department | Clinic/Center | The James A Taylor Student Health Services Cb# 7470, The University of North Carolina At Chapel Hill, Chapel Hill, NC 27599-7470 | 2007-11-29 |
| 1083807325 | Adolescent Care Center | Clinic/Center | 88 Us Highway 158 W, Gatesville, NC 27938-9438 | 2007-08-21 |
| 1578764312 | Hope Physicians | Clinic/Center | 2502 N Herritage Street, Suite A, Kinston, NC 28501-3567 | 2007-05-30 |
| 1033321005 | Anna Gove Student Health Services | Clinic/Center | 107 Gray Dr., Greensboro, NC 27402 | 2007-05-04 |
| 1073733390 | Davidson College Student Health Service | Clinic/Center | 514 N. Main St, Davidson, NC 28036 | 2007-04-27 |
| 1053452953 | Wake Forest University Student Health Service | Clinic/Center | 1834 Reynolda Road, Mackie Health Center - Reynolds Gym - Wingate Rd. Wfu, Winston-salem, NC 27106 | 2007-02-12 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BROCKER HEALTH CENTER/ UNC CHARLOTTE.
| 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.