DR. BRIAN LEROY JERBY (NPI# 1609867993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609867993 |
| Entity Type | Individual |
| Full Name | DR. BRIAN LEROY JERBY |
| Credential | M.D. |
| Practice Address |
1718 E 4th St Suite 307 Charlotte NC 28204-3261 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 7043331259 |
| Practice Fax Number | 7043330371 |
| Mailing Telephone | 7043331259 |
| Mailing Fax Number | 7043330371 |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2016-12-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208C00000X | Colon & Rectal Surgery | 00264 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 891195P | 05 |
| Street Address |
1718 E 4TH ST SUITE 307 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28204-3261 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841298239 | Kevin Hsu | Internal Medicine | 1718 E 4th St, Ste 501, Charlotte, NC 28204-3260 | 2005-07-11 |
| 1205373081 | Miranda L Williams | Physician Assistant | 1718 E 4th St, Suite 501, Charlotte, NC 28204-3261 | 2017-01-31 |
| 1881138873 | Shannon Scandone | Nurse Practitioner | 1718 E 4th St, Suite 501, Charlotte, NC 28204-3261 | 2016-12-09 |
| 1063963866 | Jessica Puskarich | Nurse Practitioner | 1718 E 4th St, Suite 307, Charlotte, NC 28204-3261 | 2016-10-18 |
| 1801343793 | Novant Medical Group, Inc | Pediatrics | 1718 E 4th St, Suite 601, Charlotte, NC 28204-3261 | 2016-09-08 |
| 1497107536 | Kelly J Coleman | Nurse Practitioner | 1718 E 4th St, Suite 501, Charlotte, NC 28204-3261 | 2016-07-12 |
| 1447616602 | Lindsay Spears Taylor | Physician Assistant | 1718 E 4th St, Suite 501, Charlotte, NC 28204-3261 | 2016-01-04 |
| 1982089322 | Melanie Moshier | Genetic Counselor, MS | 1718 E 4th St, Suite 608, Charlotte, NC 28204-3261 | 2015-07-28 |
| 1962886218 | Novant Medical Group, Inc | Pediatrics | 1718 E 4th St, Suite 401, Charlotte, NC 28204-3261 | 2015-07-16 |
| 1780071373 | Shannon Deluca | Nurse Practitioner | 1718 E 4th St, Suite 501, Charlotte, NC 28204-3261 | 2015-04-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285263582 | Precise Home Care Service LLC | In Home Supportive Care | 1935 Baxter Street, Unit 101, Charlotte, NC 28204 | 2020-04-07 |
| 1285276253 | Shannon Miller | Counselor | 1432 E Seventh Street, Charlotte, NC 28204 | 2019-10-11 |
| 1194282202 | Madison Joann Mcgarrigle | Behavior Technician | 1401 East 7th Street, Charlotte, NC 28204 | 2019-02-25 |
| 1255802674 | Stacey D. Alston, Dds, Pa | Dentist | 1020 E. 10th St., Suite 1, Charlotte, NC 28204 | 2018-12-11 |
| 1972082097 | Kim Webb Talbert | Nurse Practitioner | Novant Health Presbyterian Medical Center Charlotte, 200 Hawthorne Lane, Charlotte, NC 28204 | 2018-08-09 |
| 1164910535 | Jesse Elijah Roberts | Counselor | 1801 E 5th Street, #208, Charlotte, NC 28204 | 2018-05-01 |
| 1336696848 | Eight Healthcare | Exclusive Provider Organization | 2455 Weddington Ave, 2110, Charlotte, NC 28204 | 2016-09-01 |
| 1225480551 | Kathleen Quintana Bradley | Physician Assistant | 1523 Elizabeth Ave., Suite 200, Charlotte, NC 28204 | 2016-07-11 |
| 1184049777 | Della Franklin | Speech-Language Pathologist | 1021 Morehead Medical Dr Ste 3300, Charlotte, NC 28204 | 2014-02-19 |
| 1225459845 | Healing Arts Medical, Pa | Family Medicine | 335 N. Caswell Rd., Charlotte, NC 28204 | 2013-12-27 |
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| Taxonomy Code | 208C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Colon & Rectal Surgery |
| A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962493239 | William Alfred Walker | Colon & Rectal Surgery | 2015 Randolph Rd, Suite 201, Charlotte, NC 28207-1200 | 2005-11-04 |
| 1003937079 | Kevin Kasten | Colon & Rectal Surgery | 1025 Morehead Medical Dr, Ste 300, Charlotte, NC 28204-2963 | 2007-04-03 |
| 1831155738 | Charlotte Colon & Rectal Surgery Associates Pa | Colon & Rectal Surgery | 2015 Randolph Rd, Suite 201, Charlotte, NC 28207-1200 | 2006-04-21 |
| 1992773824 | Bradley Davis | Colon & Rectal Surgery | 1025 Morehead Medical Dr, Ste 300, Charlotte, NC 28204-2963 | 2006-03-08 |
| 1023099165 | John Gordon Morrison | Colon & Rectal Surgery | 2015 Randolph Rd, Suite 201, Charlotte, NC 28207-1200 | 2005-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447861968 | Carolina Colon & Rectal Specialists Pa | Colon & Rectal Surgery | 3049 Senna Dr, Matthews, NC 28105-6727 | 2020-08-10 |
| 1295178986 | Melissa Silva Zoumberos | Colon & Rectal Surgery | 14 Medical Park Dr, Asheville, NC 28803 | 2013-04-11 |
| 1821358748 | Warqaa M Akram | Colon & Rectal Surgery | 600 Moye Blvd, Greenville, NC 27834-4300 | 2012-05-24 |
| 1285952002 | Benny Yee-chun Chong | Colon & Rectal Surgery | 200 Medical Park Dr, Suite 400, Concord, NC 28025-2982 | 2010-05-05 |
| 1629395579 | Nicole Chaumont | Colon & Rectal Surgery | 101 Manning Dr, Dept of Surgery Cb#7050, Chapel Hill, NC 27514 | 2010-04-30 |
| 1811166549 | Western Wake Surgical PC | Colon & Rectal Surgery | 155 Parkway Office Ct, Suite 101, Cary, NC 27518-7427 | 2008-02-27 |
| 1023296647 | Carolina Colorectal Surgery, PC | Colon & Rectal Surgery | 2501 Atrium Dr, Suite 305, Raleigh, NC 27607-6452 | 2008-02-06 |
| 1497702773 | Edmund Rutherford J Rutherford | Colon & Rectal Surgery | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2006-05-30 |
| 1780649111 | Frank J Wessels | Colon & Rectal Surgery | 3814 Browning Pl, Suite 100, Raleigh, NC 27609-7166 | 2006-04-19 |
| 1073575668 | Richard G Saleeby Jr. | Colon & Rectal Surgery | 3814 Browning Pl, Suite 100, Raleigh, NC 27609-7166 | 2006-04-06 |
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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.