DR. DAVID BRANTLEY III (NPI# 1336457670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336457670 |
| Entity Type | Individual |
| Full Name | DR. DAVID BRANTLEY III |
| Credential | PSY.D. |
| Practice Address |
10130 Mallard Creek Rd Suite 300 Charlotte NC 28262-6000 |
| Practice Telephone | 7049443112 |
| Practice Fax Number | 7049443113 |
| Mailing Telephone | 7049443112 |
| Mailing Fax Number | 7049443113 |
| Enumeration Date | 2010-09-21 |
| Last Update Date | 2014-07-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
3777 | NC | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
3777 | NC | Behavioral Health & Social Service Providers |
| N | 103TC1900X |
Psychologist Specialization: Counseling |
3777 | NC | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
3777 | NC | Behavioral Health & Social Service Providers |
| N | 103TH0100X |
Psychologist Specialization: Health Service |
3777 | NC | Behavioral Health & Social Service Providers |
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
3777 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073501292 | David Scott Brantley | Internal Medicine | 2312 N Nevada Ave Ste 400, Colorado Springs, CO 80907-5320 | 2005-10-11 |
| 1093341562 | David Lee Brantley | Case Manager/Care Coordinator | 105 Highway 9, Oxford, AR 72565 | 2020-03-17 |
| 1235544404 | David Willis Brantley | Dentist | 495 Furys Ferry Rd, Martinez, GA 30907-8221 | 2014-06-26 |
| 1790706182 | David Allen Brantley | Internal Medicine | 6060 Piedmont Row Dr S Fl 6, Charlotte, NC 28287 | 2006-07-21 |
| 1669493276 | David H. Brantley | Dentist | 495 Furys Ferry Rd, Martinez, GA 30907-8221 | 2006-07-21 |
| 1104879931 | David Bruce Brantley | Emergency Medicine | 200 N River St, Claxton, GA 30417-1659 | 2006-05-19 |
| 1053305052 | David S Brantley | Pediatrics | 91 Enterprise Dr, Rocky Mount, NC 27804-9590 | 2005-09-06 |
| Street Address |
10130 MALLARD CREEK RD SUITE 300 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28262-6000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598818957 | Carlos Todd | Counselor | 10130 Mallard Creek Rd, Ste 300, Charlotte, NC 28262-6000 | 2007-01-19 |
| 1255938486 | Lacole's Healing Touch Home Care,llc | In Home Supportive Care | 10130 Mallard Creek Rd, Charlotte, NC 28262-6000 | 2020-10-01 |
| 1619411592 | Infinium Health Services LLC | Nursing Care | 10130 Mallard Creek Rd, Suite 200, Charlotte, NC 28262-6000 | 2016-12-12 |
| 1386196897 | Home for Family Intimacy, Pllc | Social Worker | 10130 Mallard Creek Rd, Charlotte, NC 28262-6000 | 2016-10-31 |
| 1679930663 | S & B Home Health Inc | In Home Supportive Care | 10130 Mallard Creek Rd, 300, Charlotte, NC 28262-6000 | 2016-01-21 |
| 1275906497 | Ayres of Change Counseling Center | Counselor | 10130 Mallard Creek Rd, Suite 300, Charlotte, NC 28262-6000 | 2015-11-10 |
| 1053783506 | Laura Elena Falconi | Dietitian, Registered | 10130 Mallard Creek Rd, Suite 300, Charlotte, NC 28262-6000 | 2015-10-23 |
| 1093193245 | Nancy Fisco Miller | Dietitian, Registered | 10130 Mallard Creek Rd, Charlotte, NC 28262-6000 | 2015-05-08 |
| 1679979702 | Lakisha Marie Harris | Counselor | 10130 Mallard Creek Rd, Suite 300, Charlotte, NC 28262-6000 | 2014-11-18 |
| 1013318492 | Good Samaritan Home Care Services | In Home Supportive Care | 10130 Mallard Creek Rd, Suite 300, Charlotte, NC 28262-6000 | 2014-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366056913 | Aleta Michelle Johnson | Specialist | 9711 David Taylor Dr., Ste. 145, Charlotte, NC 28262 | 2020-09-01 |
| 1275161580 | Londyn Homecare Agency L.l.c | Home Health | 1914j.n. Place, Charlotte, NC 28262 | 2020-03-31 |
| 1154964914 | Abundant Love Home Care Service LLC | In Home Supportive Care | 1981 J.n. Pease Place, Ste 204, Charlotte, NC 28262 | 2019-10-24 |
| 1104399070 | Nattya S Pilgreen | Prosthetist | 410 E Mccullough Drive, Suite 103, Charlotte, NC 28262 | 2019-01-03 |
| 1114404506 | Laura Ida Anthony-getant | Social Worker | 10130 Mallard Creek Road, Ste 300 #333, Charlotte, NC 28262 | 2018-07-27 |
| 1720573587 | Carolinas Center for Ambulatory Dentistry LLC | Dentist | 8415 Medical Plaza Drice, Charlotte, NC 28262 | 2018-06-25 |
| 1598254799 | Cassandra Faye Harding | Nurse Practitioner | 1905 Jn Pease Place Suite 103, Charlotte, NC 28262 | 2018-05-03 |
| 1669960746 | Michael Riley | In Home Supportive Care | 8301 University Exec Park Dr Ste 120, Charlotte, NC 28262 | 2018-04-25 |
| 1568989804 | Bridget Coomber | Behavior Technician | 8420 University Executive Dr Ste 810, Charlotte, NC 28262 | 2017-08-28 |
| 1073037701 | Toshana Daley | Physical Therapist | 8801 Jm Keynes Blvd, Charlotte, NC 28262 | 2017-08-03 |
| Find all providers in zip 28262 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770123531 | Robert B Stroker | Psychologist | 10617 Kettering Dr Ste 213, Charlotte, NC 28226-4900 | 2020-01-09 |
| 1902460744 | Holly Hauser | Psychologist | 1905 J N Pease Pl Ste 104, Charlotte, NC 28262-4509 | 2019-04-26 |
| 1972944759 | Intrusted Care Solutions Inc | Psychologist | 2340 N Graham St Ste B, Charlotte, NC 28206-2506 | 2013-07-09 |
| 1790029791 | David E Mermelstein | Psychologist | 6201 Fairview Road, Ste 200, Charlotte, NC 28210-3297 | 2012-11-15 |
| 1598014011 | Jesse Selkin | Psychologist | 8832 Blakeney Professional Dr Ste 105, Charlotte, NC 28277-6717 | 2012-08-30 |
| 1629324975 | Kevin L Gyoerkoe | Psychologist | 8832 Blakeney Professional Dr, Suite 105, Charlotte, NC 28277-6809 | 2012-07-24 |
| 1235406109 | Redlak Recovery Center, Pllc | Psychologist | 10801 Johnston Rd Ste 217, Charlotte, NC 28226-7856 | 2011-11-21 |
| 1801172051 | Chad Wesley Kraska | Psychologist | 7400 Carmel Executive Park Dr Ste 135, Charlotte, NC 28226-8400 | 2011-11-01 |
| 1679805717 | Rose Marie Leday | Psychologist | 3440 Toringdon Way, Suite #205, Charlotte, NC 28277-3190 | 2010-01-29 |
| 1023241965 | Briana Melissa Webber-lind | Psychologist | 12815 Longstraw Rd, Charlotte, NC 28227-3686 | 2009-08-26 |
| Find all providers in CHARLOTTE | ||||
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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.