BRANDY NICOLE BONNER (NPI# 1447603774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447603774 |
| Entity Type | Individual |
| Full Name | BRANDY NICOLE BONNER |
| Credential | MPH, MPAS, PA-C |
| Practice Address |
790 Timber Dr Garner NC 27529-4852 |
| Practice Telephone | 8663892727 |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2020-08-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 001007717 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | PA9109665 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 018572900 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1699 Sw 16th Ave Bldg A, Gainesville, FL 326081158 | 3523340206 |
| Street Address |
790 TIMBER DR |
| City | GARNER |
| State | NC |
| Zip Code | 27529-4852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285738955 | North Carolina Cvs Pharmacy LLC | Pharmacy | 790 Timber Dr, Garner, NC 27529-4852 | 2006-09-12 |
| 1558978999 | Deborah Lousie Ballard | Nurse Practitioner | 790 Timber Dr, Garner, NC 27529-4852 | 2020-09-29 |
| 1285280313 | Holly Short | Nurse Practitioner | 790 Timber Dr, Garner, NC 27529-4852 | 2019-08-14 |
| 1154698504 | Angela Kaloko | Nurse Practitioner | 790 Timber Dr, Garner, NC 27529-4852 | 2011-11-29 |
| 1316230824 | Derrick Brian Kimrey | Pharmacist | 790 Timber Dr, Garner, NC 27529-4852 | 2011-05-17 |
| 1578871588 | Amie Marie Miller | Pharmacist | 790 Timber Dr, Garner, NC 27529-4852 | 2010-09-24 |
| 1730209925 | Carissa Haney | Nurse Practitioner | 790 Timber Dr, Garner, NC 27529-4852 | 2007-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578112579 | Ascend Rehab Therapy | Speech-Language Pathologist | 45 Waterpine Drive, Garner, NC 27529 | 2019-09-11 |
| 1760039937 | Direct Realistic Counseling Sevices | Counselor | 503 Highway 70, Suite R, Garner, NC 27529 | 2019-08-22 |
| 1285281402 | Direct Solutions Counseling Services | Counselor | 503 R Highway 70, Garner, NC 27529 | 2019-08-22 |
| 1821551920 | Rex Hospital Inc | Emergency Medicine | 1165 Us Hwy 70 W, Garner, NC 27529 | 2019-04-08 |
| 1154888485 | First Step Services, LLC | Social Worker | 1418 Aversboro Road, Suite 201, Garner, NC 27529 | 2019-02-22 |
| 1528533387 | Pratibha Verma | Physical Therapist | 200 Bellarose Nursing and Rehab, Garner, NC 27529 | 2018-10-09 |
| 1073037271 | Kim Robert Rogers | Marriage & Family Therapist | 1140 Holly Springs Road #207, Holly Springs, NC 27529 | 2017-07-29 |
| 1790214062 | Diversified Services of Nc LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 255 Adams Point Dr, Garner, NC 27529 | 2017-06-08 |
| 1972049369 | Michelle Stephens | Case Manager/Care Coordinator | 7017 Scarlett Ln, Garner, NC 27529 | 2017-01-10 |
| 1962854877 | Brittany H Mccrann | Social Worker | 310 New Fidelity Ct, Garner, NC 27529 | 2016-07-05 |
| Find all providers in zip 27529 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548634066 | Brooke Christine Owen | Physician Assistant | 400 Us Highway 70 E, Garner, NC 27529 | 2015-11-20 |
| 1538304837 | Marian Jeanette Keen | Physician Assistant | 22 Shipwash Drive, Garner, NC 27529 | 2008-12-16 |
| 1720113376 | Julie Barr Tedder Queen | Physician Assistant | 200 Health Park Dr Ste 100, Garner, NC 27529-4679 | 2007-02-23 |
| 1306878061 | Ramona Peteu Albrecht | Physician Assistant | 811 Us Highway 70 W, Garner, NC 27529-2541 | 2006-07-06 |
| 1578509881 | Carolyn Kay Solak | Physician Assistant | 510 Timber Dr E Ste 105, Garner, NC 27529-4689 | 2006-06-22 |
| 1114960036 | Reza John Hatefi | Physician Assistant | 5156 Nc Hwy 42 West, Garner, NC 27529 | 2006-06-14 |
| 1710930813 | Cecile Noel | Physician Assistant | 200 Health Park Dr, Garner, NC 27529-4679 | 2006-05-18 |
| 1538796685 | Stephanie Voshell Orihood | Physician Assistant | 5156 Nc Highway 42 W, Garner, NC 27529-8417 | 2020-03-26 |
| 1053959098 | Kristin Crenshaw Beal | Physician Assistant | 501 Health Park Dr Ste 150, Garner, NC 27529-7051 | 2019-12-19 |
| 1174057640 | Margery Scott Springer | Physician Assistant | 200 Health Park Dr, Suite 100, Garner, NC 27529-4679 | 2017-04-12 |
| Find all providers in GARNER | ||||
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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.