MR. BRANDON SHANE TOLBERT (NPI# 1740846971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740846971 |
| Entity Type | Individual |
| Full Name | MR. BRANDON SHANE TOLBERT |
| Practice Address |
841 Malcolm Blvd Rutherford College NC 28671 |
| Mailing Address |
2151 Curt Ledford Rd Lawndale NC 28090-9342 |
| Practice Telephone | 8288743379 |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2019-06-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 503 E Parker Rd, Morganton, NC 286555104 | 8284376500 |
| Street Address |
841 MALCOLM BLVD |
| City | RUTHERFORD COLLEGE |
| State | NC |
| Zip Code | 28671 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104060433 | Carolina Orthopaedic Specialist. Pa | Durable Medical Equipment & Medical Supplies | 841 Malcolm Blvd, Rutherford College, NC 28671 | 2009-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104432160 | Emily Bordeleau Cannon | Nutritionist | 721-d Malcom Blvd, Rutherford College, NC 28671 | 2020-09-16 |
| 1730557091 | Kelly Hartman | Pharmacist | 722 Malcolm Blvd, Rutherford College, NC 28671 | 2015-09-03 |
| 1053720730 | Micah Loren Wilson | Nurse Practitioner | 111 Hilltop Street, Rutherford College, NC 28671 | 2014-08-07 |
| 1336479252 | Kristy Perry Guillen | Pharmacist | 722 Malcolm Boulevard, Rutherford College, NC 28671 | 2009-12-29 |
| 1073646865 | Morganton Eye Physicians, P.a. | Optometrist | 831 Malcolm Blvd, Rutherford College, NC 28671 | 2007-03-13 |
| 1265591317 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 301 Us 70, Rutherford College, NC 28671 | 2006-12-06 |
| 1780772715 | Blue Ridge Healthcare Medical Group, Inc. | Family Medicine | 730 Malcolm Blvd., Suite 230, Rutherford College, NC 28671 | 2006-10-11 |
| 1205847423 | Women's Health Care,p.a. | Obstetrics & Gynecology | 721 D Malcolm Blvd., Rutherford College, NC 28671 | 2006-08-11 |
| 1174534648 | Morganton Eye Physicians, P.a. | Eyewear Supplier (Equipment, not the service) | 831 Malcolm Boulevard, Optical Department, Rutherford College, NC 28671 | 2006-08-10 |
| 1568408276 | Christopher Mcdonald | Specialist | 720 Malcolm Blvd., Rutherford College, NC 28671 | 2006-06-21 |
| Find all providers in zip 28671 | ||||
| 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 |
|---|---|---|---|---|
| 1215538459 | Sarah Jane Lamanna | Physician Assistant | 3012 Bristol Creek Dr, Morrisville, NC 27560-7811 | 2020-11-04 |
| 1043819741 | Brad Russell Tolan | Physician Assistant | 211 Pinegate Cir Apt 12, Chapel Hill, NC 27514-2221 | 2020-10-22 |
| 1265030654 | Vanessa Vinson | Physician Assistant | 284 Lower Edgewood Rd, Candler, NC 28715-9285 | 2020-10-16 |
| 1649878810 | Courtney Michelle Watlington | Physician Assistant | 360 N Bennett St, Southern Pines, NC 28387-4813 | 2020-10-11 |
| 1669079034 | Christine Meyer | Physician Assistant | 2523 Creek Ridge Ln, Chapel Hill, NC 27514-7454 | 2020-10-07 |
| 1407453319 | Khyan Waddell | Physician Assistant | 127 Sneed Rd, Enfield, NC 27823-9589 | 2020-10-04 |
| 1053918979 | Amjad Ali | Physician Assistant | 730 Montlieu Ave, High Point, NC 27260-4000 | 2020-10-04 |
| 1104433382 | Aditi Bhattacharjee Sundaresan | Physician Assistant | 131 Mallard Ct, Chapel Hill, NC 27517-9104 | 2020-09-30 |
| 1689281933 | Kathryn Tarulli | Physician Assistant | 600 W Main St Apt 624, Durham, NC 27701-5005 | 2020-09-29 |
| 1205443991 | Kelsey Mendez | Physician Assistant | 105 Basket Oak Dr, Bunnlevel, NC 28323-9141 | 2020-09-26 |
| Find all providers with the same taxonomy | ||||
| City | RUTHERFORD COLLEGE |
| Zip Code | 28671 |
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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.