MR. BRIAN MACK (NPI# 1063979128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063979128 |
| Entity Type | Individual |
| Full Name | MR. BRIAN MACK |
| Credential | FNP-C |
| Practice Address |
520 N Elam Ave Greensboro NC 27403-1127 |
| Practice Telephone | 9192800198 |
| Enumeration Date | 2019-02-25 |
| Last Update Date | 2019-04-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
5011498 | NC | Allopathic & Osteopathic Physicians |
| N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
5011498 | NC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215269774 | Brian J Mack | Pharmacist | 1549 Route 9, Walmart Pharmacy, Halfmoon, NY 12065-5603 | 2010-02-09 |
| 1336282474 | Brian Mack | Anesthesiology | 514 W Pueblo St, Second Floor, Santa Barbara, CA 93105-6219 | 2007-02-15 |
| Street Address |
520 N ELAM AVE |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27403-1127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013994797 | Murali Ramaswamy | Internal Medicine | 520 N Elam Ave, Greensboro, NC 27403-1127 | 2005-12-23 |
| 1801397062 | Paula Brooke Simpson | Nurse Practitioner | 520 N Elam Ave, Greensboro, NC 27403-1127 | 2018-02-23 |
| 1174988992 | Sarah Fraser Groce | Nurse Practitioner | 520 N Elam Ave, Greensboro, NC 27403-1127 | 2015-12-21 |
| 1538536214 | Gregory Calone | Nurse Practitioner | 520 N Elam Ave, Greensboro, NC 27403-1127 | 2015-08-28 |
| 1649647645 | Margaret Gibson Arnett | Nurse Practitioner | 520 N Elam Ave, Suite 200, Greensboro, NC 27403-1127 | 2015-08-25 |
| 1174913511 | Rahul Paresh Desai | Physician Assistant | 520 N Elam Ave, Greensboro, NC 27403-1127 | 2015-01-23 |
| 1891123667 | Regina Baity | Nurse Practitioner | 520 N Elam Ave, Greensboro, NC 27403-1127 | 2013-10-14 |
| 1720320898 | Bradley Len Icard | Internal Medicine | 520 N Elam Ave, Greensboro, NC 27403-1127 | 2013-03-26 |
| 1780942516 | Elizabeth Crawford | Internal Medicine | 520 N Elam Ave, Greensboro, NC 27403-1127 | 2012-04-30 |
| 1558672212 | Zachary Michael Smith | Family Medicine | 520 N Elam Ave, Greensboro, NC 27403-1127 | 2010-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518581412 | Tina Tate | Nurse Practitioner | Behavioral Health Hospital, 700 Walter Reed Drive, Greensboro, NC 27403 | 2020-06-05 |
| 1609438514 | Gail Corneau | Psychologist | Uncg Psychology Clinic, 1100 West Market Street, Greensboro, NC 27403 | 2019-07-01 |
| 1528527298 | Kendall Austin Macdonald | Hearing Instrument Specialist | 2823 A Spring Garden St, Suite A, Greensboro, NC 27403 | 2019-03-13 |
| 1093292237 | Andrew Robertson | Pharmacist | 1903 W. Florida St, Greensboro, NC 27403 | 2018-07-20 |
| 1447778071 | Bac Developmental Program Inc | Day Training, Developmentally Disabled Services | 2203 Coliseum Blvd, Greensboro, NC 27403 | 2017-09-04 |
| 1144607128 | Waldo's Optical | Eyewear Supplier (Equipment, not the service) | 2500 Spring Garden St., Suite C, Greensboro, NC 27403 | 2015-04-29 |
| 1851703144 | Tedra Slade | Social Worker | 612 Pasteur Dr., Suite 300, Greensboro, NC 27403 | 2014-05-21 |
| 1336568807 | Brian Sninsky | Urology | Alliance Urology Specialists, Pa, 509 N. Elam Ave., 2nd Floor, Greensboro, NC 27403 | 2014-04-14 |
| 1003237785 | Peter Reich | Counselor | 907 Englewood St, Greensboro, NC 27403 | 2013-12-23 |
| 1508295429 | Alexander Wilson Lpc Inc | Counselor | 3719 West Market Street, Suite B, Greensboro, NC 27403 | 2013-11-01 |
| Find all providers in zip 27403 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902014913 | Robert Horton Brookman | Internal Medicine | 1011 Rowans Vw, Greensboro, GA 30642-3886 | 2007-05-21 |
| 1306861133 | Vineet Sood | Internal Medicine | 520 N. Elam Ave, Greensboro, NC 27403-1127 | 2006-07-13 |
| 1538160262 | Adewale Olalere | Internal Medicine | 3511 W Market St Ste 100, Greensboro, NC 27403-4444 | 2005-08-03 |
| 1720320898 | Bradley Len Icard | Internal Medicine | 520 N Elam Ave, Greensboro, NC 27403-1127 | 2013-03-26 |
| 1124230776 | Douglas Brent Mcquaid | Internal Medicine | 520 N Elam Ave, Greensboro, NC 27403-1127 | 2007-05-04 |
| 1093868929 | Rakesh Vishwanath Alva | Internal Medicine | 520 N Elam Ave, Greensboro, NC 27403-1127 | 2007-01-22 |
| 1518992239 | Wesam Gaber Yacoub | Internal Medicine | 520 N Elam Ave, Lebauer Pulmonary, Greensboro, NC 27403-1127 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982185377 | Fhpg, LLC | Internal Medicine | 2925 Beechtree Dr, Suite 142, Sanford, NC 27330 | 2018-08-24 |
| 1871034595 | Jane Tramontana | Internal Medicine | 2611 Creek Manor Dr, Waxhaw, NC 28173-4109 | 2017-03-14 |
| 1962953877 | Novant Medical Group, Inc | Internal Medicine | 9550 Rocky River Rd Ste 100, Charlotte, NC 28215 | 2016-10-17 |
| 1154774032 | Roanoke Valley Health Services, Inc | Internal Medicine | 210 Smith Church Rd Ste B, Roanoke Rapids, NC 27870-4942 | 2016-07-15 |
| 1376974485 | Gottskalk Bjornsson | Internal Medicine | 363 Creedmoor Rd, Jacksonville, NC 28546-6035 | 2013-11-29 |
| 1396017752 | Blue Ridge Healthcare Medical Group, Inc. | Internal Medicine | 2293 Sugar Hill Rd, Suite B, Marion, NC 28752-7787 | 2012-02-01 |
| 1518283373 | Christine Lee Vigeland | Internal Medicine | 101 Manning Drive University of North Carolina, Chapel Hill, NC 27599-0001 | 2010-04-19 |
| 1821314014 | Luz Juliana Barahona | Internal Medicine | 706 Rosanne Dr, Kinston, NC 28504-1550 | 2010-04-13 |
| 1407188600 | Blue Ridge Healthcare Medical Group, Inc. | Internal Medicine | 117-b Foothills Dr, Morganton, NC 28655 | 2010-02-12 |
| 1164690731 | Pulmonology & Bronchology | Internal Medicine | 8878 Us 70 Hwy W, Suite 400a, Clayton, NC 27520-4823 | 2008-02-15 |
| Find all providers with the same taxonomy | ||||
| City | GREENSBORO |
| Zip Code | 27403 |
Please comment or provide details below to improve the information on MR. BRIAN MACK.
| 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.