BRANDON MONTANA (NPI# 1376037549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
Address | Telephone Number | Fax Number |
---|---|---|
2131 S 17th St, Wilmington, NC 284017407 | 9106629300 | |
3762 Durham Rd, Roxboro, NC 27573 | 3363300400 | 3363300031 |
Street Address |
1725 NEW HANOVER MEDICAL PARK DR |
City | WILMINGTON |
State | NC |
Zip Code | 28403-5345 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 28403 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
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 |
Find all providers in WILMINGTON |
City | WILMINGTON |
Zip Code | 28403 |
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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.