BRIAN AVERELL (NPI# 1891742763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891742763 |
| Entity Type | Individual |
| Full Name | BRIAN AVERELL |
| Credential | DO |
| Practice Address |
137 Medical Ln Pollocksville NC 28573 |
| Mailing Address |
Po Box 68 Pollocksville NC 28573-0068 |
| Practice Telephone | 2526331010 |
| Practice Fax Number | 2522243071 |
| Mailing Telephone | 2526353906 |
| Mailing Fax Number | 2522240378 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2018-08-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
2008-01412 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
137 MEDICAL LN |
| City | POLLOCKSVILLE |
| State | NC |
| Zip Code | 28573 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851385025 | Tammy Waits Stimson | Nurse Practitioner | 137 Medical Ln, Pollocksville, NC 28573 | 2005-09-02 |
| 1245659226 | Colleen Marie Stack | Psychiatry & Neurology | 137 Medical Ln, Pollocksville, NC 28573-8200 | 2014-04-07 |
| 1598101750 | Ana Abaroa-salvatierra | Internal Medicine | 137 Medical Ln, Pollocksville, NC 28573-8200 | 2013-05-15 |
| 1114288768 | Stanley Robert Stevens Jr. | Nurse Practitioner | 137 Medical Ln, Pollocksville, NC 28573-8200 | 2012-05-30 |
| 1982963245 | Katherine Pandelidis Kaufman | Internal Medicine | 137 Medical Ln, Pollocksville, NC 28573-8200 | 2012-05-08 |
| 1114213162 | Russell Raymond Wilford | Internal Medicine | 137 Medical Ln, Pollocksville, NC 28573-8200 | 2011-06-28 |
| 1023309325 | Kelsey Jeanine Barr | Internal Medicine | 137 Medical Ln, Pollocksville, NC 28573-8200 | 2011-04-21 |
| 1255632006 | Carolinaeast Physicians | Hospitalist | 137 Medical Ln, Pollocksville, NC 28573-8200 | 2010-11-10 |
| 1275859498 | James Graham Underhill | Podiatrist | 137 Medical Ln, Pollocksville, NC 28573-8200 | 2010-04-13 |
| 1053496349 | Robert Orin Holmes Jr. | Internal Medicine | 137 Medical Ln, Pollocksville, NC 28573-8200 | 2006-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548489917 | Benjamin Donald Gilmore | Physical Therapist | 215 Foy St, Pollocksville, NC 28573 | 2007-04-24 |
| 1679623607 | Allen Drugs Inc | Pharmacy | 9026 Highway 17, Pollocksville, NC 28573 | 2007-01-11 |
| 1285722777 | Sherry Mattocks Jarman | Counselor | 10774 Highway 17 South, Pollocksville, NC 28573 | 2006-10-10 |
| 1043243835 | Tar Heel Health Care Services, LLC | Home Health | 121 Techcon Way, Pollocksville, NC 28573 | 2006-07-08 |
| 1245223379 | Jerry Donald Day Jr. | Physician Assistant | 137 Medical Lane, Pollocksville, NC 28573 | 2005-08-24 |
| 1750507786 | Shannon Chambers Semple | Physician Assistant | 137 Medical Lane, Pollocksville, NC 28573 | 2007-04-18 |
| 1487765632 | Gerard M Mcphee | Radiology | 137 Medical Lane, Pollocksville, NC 28573 | 2006-08-31 |
| 1356336895 | Michael E Davis | Internal Medicine | 137 Medical Lane, Pollocksville, NC 28573 | 2005-09-12 |
| 1013901164 | Nicholas Farina | Internal Medicine | 137 Medical Lane, Pollocksville, NC 28573 | 2005-09-06 |
| 1316931611 | Neil C Bender | Internal Medicine | 137 Medical Lane, Pollocksville, NC 28573 | 2005-09-01 |
| Find all providers in zip 28573 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245659226 | Colleen Marie Stack | Psychiatry & Neurology | 137 Medical Ln, Pollocksville, NC 28573-8200 | 2014-04-07 |
| 1700836681 | Daniel R Champey | Psychiatry & Neurology | 137 Medical Lane, Pollocksville, NC 28573-0068 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574706 | Nandigam Neurology, LLC | Psychiatry & Neurology | 10 Doctors Cir Ste 1, Supply, NC 28462-4218 | 2020-09-30 |
| 1033738299 | Catawba Valley Medical Group Inc | Psychiatry & Neurology | 3246 6th Ave Se Ste 101, Hickory, NC 28602-8335 | 2020-04-08 |
| 1700433711 | Novant Medical Group Inc | Psychiatry & Neurology | 933 Rockford St Ste 2, Mount Airy, NC 27030-5323 | 2019-08-23 |
| 1952886582 | John Messenheimer | Psychiatry & Neurology | 55 Hermitage Ln, Moncure, NC 27559-9670 | 2018-09-28 |
| 1578056057 | Novant Medical Group, Inc. | Psychiatry & Neurology | 15033 Ballancroft Pkwy Ste 200, Charlotte, NC 28277-4944 | 2018-06-11 |
| 1619474012 | Jamie Hannah Rose Aldridge | Psychiatry & Neurology | 1121 N Church Street, Greensboro, NC 27401 | 2018-04-11 |
| 1811417835 | Arvind Muralimohan Gomadam | Psychiatry & Neurology | 1492 Rymco Dr, Winston Salem, NC 27103 | 2017-06-21 |
| 1932637568 | Irena Dujmovic Basuroski | Psychiatry & Neurology | 194 Finley Golf Course Road, Suite 200, Chapel Hill, NC 27517 | 2017-05-26 |
| 1750838702 | Zuleyma Enid Toledo-nieves | Psychiatry & Neurology | Unc Hospitals Department of Neurology, 170 Manning Drive, Cb#7025, Chapel Hill, NC 27599-7025 | 2016-09-07 |
| 1659722593 | Arfeen Geriatric Care Pllc | Psychiatry & Neurology | 2961 Crouse Ln Ste D, Burlington, NC 27215-8833 | 2016-06-22 |
| Find all providers with the same taxonomy | ||||
| City | POLLOCKSVILLE |
| Zip Code | 28573 |
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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.