Fatima A Brens (NPI# 1871678110, PAC ID# 7416001615) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1871678110 |
| PAC ID by PECOS | 7416001615 |
| Professional Enrollment ID | I20090824000121 |
| Full Name | Fatima A Brens |
| Organization Legal Name | CAROMONT MEDICAL GROUP INC |
| Address |
700 N Main St Stanley NC 28164-1438 |
| Phone Number | 7042638945 |
| Gender | F |
| Graduation Year | 1996 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3577476258 |
| Number of Group Practice Members | 254 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340032 | GASTON MEMORIAL HOSPITAL, INC. |
| Address | Phone | Organization |
|---|---|---|
| 700 N Main St, Stanley, NC 28164-1438 | 7042638945 | CAROMONT MEDICAL GROUP INC |
| Organization Legal Name | CAROMONT MEDICAL GROUP INC |
| Physicians | 245 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bianca Beyder | Physician Assistant | Caromont Medical Group Inc | 1200 Village Harbor Dr, Lake Wylie, SC 29710-9092 |
| Kani M Smith | Nurse Practitioner | Caromont Medical Group Inc | 1220 Spruce St, Belmont, NC 28012-3370 |
| Christy P Bush | Nurse Practitioner | Caromont Medical Group Inc | 660 Summit Crossing Pl, Suite 301, Gastonia, NC 28054-2181 |
| Taylor M Gulley | Clinical Social Worker | Caromont Medical Group Inc | 1867 Remount Rd, Suite H, Gastonia, NC 28054-7401 |
| Billiejo Lee Dagenhart | Nurse Practitioner | Caromont Medical Group Inc | 600 W Trade St, Dallas, NC 28034-1543 |
| Tynisha K Hailes | Nurse Practitioner | Caromont Medical Group Inc | 1895 Hoffman Rd, Suite B, Gastonia, NC 28054-6557 |
| Louise Zhou | Medical Oncology | Caromont Medical Group Inc | 2711 X Ray Dr, Suite 3701, Gastonia, NC 28054-7491 |
| Kelly Bergen | Nurse Practitioner | Caromont Medical Group Inc | 2555 Court Dr, Suite 300, Gastonia, NC 28054-2179 |
| Cecily Robin Smith | Nurse Practitioner | Caromont Medical Group Inc | 815 Cox Rd, Gastonia, NC 28054-3453 |
| Kao A Lor | Nurse Practitioner | Caromont Medical Group Inc | 14035 Grandiflora Dr, Suite B, Charlotte, NC 28278-8456 |
| Street Address |
700 N MAIN ST |
| City | STANLEY |
| State | NC |
| Zip | 28164-1438 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sunny B Severance | Nurse Practitioner | Caromont Medical Group Inc | 700 N Main St, Stanley, NC 28164-1438 |
| Patrice D Rodgers Morales | Family Medicine | Caromont Medical Group Inc | 700 N Main St, Stanley, NC 28164-1438 |
| Diane Demaio-feldman | Occupational Therapy | 700 N Main St, Pleasantville, NJ 08232-1515 | |
| Michael Sikes | Physician Assistant | Caromont Medical Group Inc | 700 N Main St, Stanley, NC 28164-1438 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jodie Lee Silver | Chiropractic | Silver Chiropractic Corp | 7830 Hwy 73, Stanley, NC 28164 |
| Nicole N Tate | Nurse Practitioner | Minuteclinic Diagnostic of North Carolina PC | 442s Hwy 27, Stanley, NC 28164-2055 |
| City | STANLEY |
| Zip Code | 28164 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | STANLEY + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Fatima A Brens.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.