Brent Dwayne Hall (NPI# 1578527883, PAC ID# 9830102524) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1578527883 |
| PAC ID by PECOS | 9830102524 |
| Professional Enrollment ID | I20080108000219 |
| Full Name | Brent Dwayne Hall |
| Organization Legal Name | PATHOLOGY ASSOCIATES OF BOONE PC |
| Address |
833 State Farm Rd Boone NC 28607-4946 |
| Phone Number | 8282625569 |
| Gender | M |
| Medical School | EAST CAROLINA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1988 |
| Primary Specialty | PATHOLOGY |
| Group Practice PAC ID | 8325128010 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340051 | WATAUGA MEDICAL CENTER |
| 341323 | CHARLES A CANNON JR MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 833 State Farm Rd, Boone, NC 28607-4946 | 8282625569 | PATHOLOGY ASSOCIATES OF BOONE PC |
| Organization Legal Name | PATHOLOGY ASSOCIATES OF BOONE PC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly W Mason | Pathology | Pathology Associates of Boone PC | 336 Deerfield Rd, Boone, NC 28607-5008 |
| Street Address |
833 STATE FARM RD |
| City | BOONE |
| State | NC |
| Zip | 28607-4946 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin A Russell | Qualified Audiologist | 400 Univerisyt Hall Dr, Boone, NC 28607 | |
| Karen T Stoetzer | Clinical Social Worker | 719 Greenway Rd, Suite 108, Boone, NC 28607-3100 | |
| Ryan J Woods | Chiropractic | 920 W King St B, Boone, NC 28607-3467 | |
| Todd A Svitzer | Physician Assistant | Primedical Healthcare Pa | 240 Hwy 105 Ext, Suite 100, Boone, NC 28607-4291 |
| Nicholas J Placentra Jr. | Family Medicine | Primedical Healthcare Pa | 240 Hwy 105 Ext, Suite 100, Boone, NC 28607-4291 |
| Lori W Hiatt | Occupational Therapy | 240 Hwy 105 Ext, Suite 200, Boone, NC 28607-4291 | |
| Shelly C Smith | Physician Assistant | Primedical Healthcare Pa | 240 Hwy 105 Ext, Suite 100, Boone, NC 28607-4291 |
| Amanda K Bliss | Physician Assistant | Primedical Healthcare Pa | 240 Hwy 105 Ext, Suite 100, Boone, NC 28607-4291 |
| Miranda J Ramsey | Nurse Practitioner | Primedical Healthcare Pa | 240 Hwy 105 Ext, Suite 100, Boone, NC 28607-4291 |
| William Henson | Optometry | Daniel J Sullivan Od Pa | 1180 Blowing Rock Rd, Suite A1, Boone, NC 28607-4600 |
| Find all physicians in zip 28607 | |||
| City | BOONE |
| Zip Code | 28607 |
| Specialty | PATHOLOGY |
| City + Specialty | BOONE + PATHOLOGY |
Please comment or provide details below to improve the information on Brent Dwayne Hall.
| 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.