Brent Douglas Penhall (NPI# 1346431806, PAC ID# 8921132200) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1346431806 |
| PAC ID by PECOS | 8921132200 |
| Professional Enrollment ID | I20100823000776 |
| Full Name | Brent Douglas Penhall |
| Organization Legal Name | NOVANT MEDICAL GROUP INC |
| Address |
106 Langtree Village Dr Suite 200 Mooresville NC 28117-7571 |
| Phone Number | 7043847101 |
| Gender | M |
| Graduation Year | 2007 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1153234893 |
| Number of Group Practice Members | 1778 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340001 | CAROLINAS MEDICAL CENTER-NORTHEAST |
| 340113 | CAROLINAS MEDICAL CENTER/BEHAV HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 106 Langtree Village Dr, Suite 200, Mooresville, NC 28117-7571 | 7043847101 | NOVANT MEDICAL GROUP INC |
| 130 Plantation Ridge Dr, Suite 100, Mooresville, NC 28117-9238 | 7043161635 | NOVANT MEDICAL GROUP INC |
| Organization Legal Name | NOVANT MEDICAL GROUP INC |
| Physicians | 1795 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eugene Y Wang | Family Medicine | Novant Medical Group Inc | 2225 Freedom Dr, Charlotte, NC 28208-1000 |
| Cristina Saxon Hreso | Registered Dietitian Or Nutrition Professional | Novant Medical Group Inc | 14215 Ballantyne Corporate Pl, Suite 240, Charlotte, NC 28277-3875 |
| Jeffrey L Williams | Obstetrics/gynecology | Novant Medical Group Inc | 2909 Maplewood Ave, Winston Salem, NC 27103-4009 |
| Shannon M. Roche | Family Medicine | Novant Medical Group Inc | 8420 University Exec Park Dr, Suite 850, Charlotte, NC 28262-1308 |
| Laura Walker Justice | Registered Dietitian Or Nutrition Professional | Novant Medical Group Inc | 125 Baldwin Ave, Suite 200, Charlotte, NC 28204-3370 |
| Jennifer Susanne Harvey | Family Medicine | Novant Medical Group Inc | 1730 Kernersville Medical Pkwy, Suite 204, Kernersville, NC 27284-7198 |
| Zion Ko Lamm | Internal Medicine | Novant Medical Group Inc | 301 S College St, Suite 250, Charlotte, NC 28202-6035 |
| Ellen Greear | Nurse Practitioner | Novant Medical Group Inc | 200 Greenwich Rd, Charlotte, NC 28211-2316 |
| Allen J Shepard | Family Medicine | Novant Medical Group Inc | 14230 Hunters Rd, Huntersville, NC 28078-7335 |
| Charis Craig Bostian | Nurse Practitioner | Novant Medical Group Inc | 1965s Us 29 Hwy, China Grove, NC 28023-5684 |
| Street Address |
106 LANGTREE VILLAGE DR SUITE 200 |
| City | MOORESVILLE |
| State | NC |
| Zip | 28117-7571 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda Y Lee | Certified Nurse Midwife (cnm) | Novant Medical Group Inc | 106 Langtree Village Dr, Suite 200, Mooresville, NC 28117-7571 |
| Stephanie Barbadora-froelich | Obstetrics/gynecology | Novant Medical Group Inc | 106 Langtree Village Dr, Suite 200, Mooresville, NC 28117-7571 |
| Richard S Thompson | Obstetrics/gynecology | Novant Medical Group Inc | 106 Langtree Village Dr, Suite 200, Mooresville, NC 28117-7571 |
| Lynn A Chiappelli | Certified Nurse Midwife | Novant Medical Group Inc | 106 Langtree Village Dr, Suite 200, Mooresville, NC 28117-7571 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven G Folstad | Emergency Medicine | Carolina Vein Associates Pllc | 206 Joe V Knox Ave H, Mooresville, NC 28117 |
| Paul C Davis | Chiropractic | 514 Williamson Rd, Suite 411, Mooresville, NC 28117-3382 | |
| Gregory Ott | Physical Therapy | Greg Otts Center for Physical Therapy and Sports Performance LLC | 156 Byers Creek Rd, Mooresville, NC 28117-4376 |
| Heather J Osborne | Physical Therapy | Greg Otts Center for Physical Therapy and Sports Performance LLC | 156 Byers Creek Rd, Mooresville, NC 28117-4376 |
| Robert C Monson Iii | Optometry | 125 Commerce Park Rd, Suite 103, Mooresville, NC 28117-4818 | |
| Nancy E Deem | Nurse Practitioner | Holston Medical Group PC | 123 Professional Park Dr, Suite 200, Mooresville, NC 28117-5519 |
| Monica L Webb | Physician Assistant | Mooresville Ppm LLC | 123 Professional Park Dr, Suite 200, Mooresville, NC 28117-5519 |
| Rebecca M Panuski | Family Medicine | Holston Medical Group PC | 123 Professional Park Dr, Suite 200, Mooresville, NC 28117-5519 |
| Bruce S Mather | Family Medicine | Holston Medical Group PC | 123 Professional Park Dr, Suite 200, Mooresville, NC 28117-5519 |
| Elisabeth E Stoffel | Family Medicine | Holston Medical Group PC | 123 Professional Park Dr, Suite 200, Mooresville, NC 28117-5519 |
| Find all physicians in zip 28117 | |||
| City | MOORESVILLE |
| Zip Code | 28117 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MOORESVILLE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Brent Douglas Penhall.
| 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.