BRANDON MONTANA


Address: 1725 New Hanover Medical Park Dr, Wilmington, NC 28403-5345
Phone: 9106629300

BRANDON MONTANA (NPI# 1376037549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376037549
Entity Type Individual
Full Name BRANDON MONTANA
Credential FNP
Practice Address 1725 New Hanover Medical Park Dr
Wilmington
NC 28403-5345
Practice Telephone 9106629300
Mailing Telephone 9106629300
Mailing Fax Number 9106629301
Enumeration Date 2018-06-20
Last Update Date 2020-07-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Q00000X Family Medicine 5010631 NC Allopathic & Osteopathic Physicians
Y 363LF0000X Nurse Practitioner
Specialization: Family
253343 NC Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
2131 S 17th St, Wilmington, NC 284017407 9106629300
3762 Durham Rd, Roxboro, NC 27573 3363300400 3363300031

Office Location

Street Address 1725 NEW HANOVER MEDICAL PARK DR
City WILMINGTON
State NC
Zip Code 28403-5345

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134189046 Wilmington Cardiology Pllc Internal Medicine 1725 New Hanover Medical Park Dr, Wilmington, NC 28403-5345 2006-03-24
1801356282 Matthew R Merrill Nurse Practitioner 1725 New Hanover Medical Park Dr, Wilmington, NC 28403-5345 2019-03-22
1538614151 Carson Lee Antis Physician Assistant 1725 New Hanover Medical Park Dr, Wilmington, NC 28403-5345 2016-08-24
1164893798 Cape Fear Physician Services Internal Medicine 1725 New Hanover Medical Park Dr, Wilmington, NC 28403-5345 2015-10-08
1982075511 Cape Fear Physician Services Inc. Surgery 1725 New Hanover Medical Park Dr, Wilmington, NC 28403-5345 2015-10-08
1699146225 Cape Fear Physician Services Inc. Nurse Practitioner 1725 New Hanover Medical Park Dr, Wilmington, NC 28403-5345 2015-10-08
1881065415 Cape Fear Physician Services Inc. Oral & Maxillofacial Surgery 1725 New Hanover Medical Park Dr, Wilmington, NC 28403-5345 2015-10-08
1831576255 Jonathan Pan Internal Medicine 1725 New Hanover Medical Park Dr, Wilmington, NC 28403-5345 2015-05-06
1700017209 Jan Thomas Clemmons Nurse Practitioner 1725 New Hanover Medical Park Dr, Wilmington, NC 28403-5345 2009-07-31
1376702811 Chukwuemeka Obiora Surgery 1725 New Hanover Medical Park Dr, Wilmington, NC 28403 2008-06-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902413875 Ymca of Southeastern Nc Health Educator 2710 Market Street, Wilmington, NC 28403 2020-09-25
1659917334 Noa Alper Occupational Therapist 5412 Old Garden Road, Wilmington, NC 28403 2019-11-18
1992346340 Nancy Rosita Carson Technician 5608 Locke Str. Apt 108, Wilmington, NC 28403 2019-10-07
1912484585 Jennifer Nicole Perry Behavior Technician 349 Campus Cv, Wilmington, NC 28403 2018-07-25
1386159929 Monumental Foundations LLC Clinic/Center Plum Tree Plaza 925 South Kerr Ave Suite F4, Wilmington, NC 28403 2017-12-05
1114445731 Jacqulyn Craichy Speech-Language Pathologist 75 Cavalier Drive, Wilmington, NC 28403 2017-09-04
1730638545 Ashley Mcneil Durable Medical Equipment & Medical Supplies 3435 Wilshire Blvd Apt 203, Wilmington, NC 28403 2016-09-22
1306204276 Valerie Pringle Jones Physical Therapist 1717 Shipyard Blvd. Ste 350, Wilmington, NC 28403 2016-02-05
1689039992 Lifeline Treatment Center Clinic/Center 5710 Oleander Dr Ste 100, Wilmington, NC 28403 2015-12-31
1750758264 Melissa Beatson Speech-Language Pathologist 4014 Oleander Drive, Ste. 3b, Coastal Speech & Language Pllc, Wilmington, NC 28403 2015-09-01
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609488428 Samantha Kuhlman Nurse Practitioner 1509 Doctors Cir Bldg C, Wilmington, NC 28401-7403 2020-08-21
1023630290 Carole King Stevenson Nurse Practitioner 1111 Figueroa Pl # Tech115, Wilmington, CA 90744-2311 2020-05-11
1962031039 Jasmine Marie Locklear Nurse Practitioner 2550 41st St, Wilmington, NC 28403-5519 2020-04-02
1811558422 Emma Rose Boisvert I Nurse Practitioner Deerfield Valley Health Center, 30 Route 100 South, Wilmington, VT 05363-0536 2019-06-25
1922569482 Joy Peterson Nurse Practitioner 1815 W 13th St Ste 1, Wilmington, DE 19806-4054 2019-03-27
1104382308 Caitlin Gallagher Nurse Practitioner 608 Dawson St Ste 103, Wilmington, NC 28401-5712 2019-02-13
1407344476 Adelle Grant-mcauley Nurse Practitioner 3521 Silverside Rd., Quillen Building Suite 2j, Wilmington, DE 19810 2018-04-25
1538674767 Angela M Mcnulty Nurse Practitioner 3521 Silverside Rd Ste 1c, Wilmington, DE 19810-4900 2017-12-11
1851804694 Laura Jean Cornelis Nurse Practitioner 908b East 16th Street, Wilmington, DE 19802 2017-11-15
1952825168 Alicia Camille Vogleson Nurse Practitioner 2601 Annand Dr Ste 3, Wilmington, DE 19808-3719 2017-07-29
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Competitor

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City WILMINGTON
Zip Code 28403

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Dataset Information

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.

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