Brandon James Fordham (NPI# 1568971026, PAC ID# 9537406517) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1568971026 |
| PAC ID by PECOS | 9537406517 |
| Professional Enrollment ID | I20190131000662 |
| Full Name | Brandon James Fordham |
| Organization Legal Name | ROBESON HEALTH CARE CORPORATION |
| Address |
1309 E 5th St Lumberton NC 28358-6031 |
| Gender | M |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1850290693 |
| Number of Group Practice Members | 23 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340050 | SOUTHEASTERN REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1309 E 5th St, Lumberton, NC 28358-6031 | ROBESON HEALTH CARE CORPORATION | |
| 307 E Wardell Dr, Pembroke, NC 28372-7998 | 9105212816 | ROBESON HEALTH CARE CORPORATION |
| 309 E Wardell Dr, Pembroke, NC 28372-7998 | 9105211464 | ROBESON HEALTH CARE CORPORATION |
| 128 E Broad St, Saint Pauls, NC 28384-1610 | 9102413042 | ROBESON HEALTH CARE CORPORATION |
| Organization Legal Name | ROBESON HEALTH CARE CORPORATION |
| Physicians | 31 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donna Sue Mcdowell | Nurse Practitioner | Robeson Health Care Corporation | 307 E Wardell Dr, Pembroke, NC 28372-7998 |
| Roselyne Bonareri Onkundi | Nurse Practitioner | Robeson Health Care Corporation | 610 E Dr Martin Luther King Jr Dr, Maxton, NC 28364-1800 |
| Rachel Munn | Physician Assistant | Robeson Health Care Corporation | 507 Lauchwood Dr, Laurinburg, NC 28352-5502 |
| Donna Marie Latva | Nurse Practitioner | Robeson Health Care Corporation | 103 Cotton Creek Rd, Star, NC 27356-7954 |
| Adam G Myers | Physician Assistant | Robeson Health Care Corporation | 1212 S Walnut St, Fairmont, NC 28340-1848 |
| Angela P Fields | Nurse Practitioner | Robeson Health Care Corporation | 610e Martin L King Jr Hwy, Maxton, NC 28364 |
| Jennifer Lynn Givens | Nurse Practitioner | Robeson Health Care Corporation | 15 Hill Plz A, Whiteville, NC 28472-4950 |
| Nantachie Marie Fowler | Nurse Practitioner | Robeson Health Care Corporation | 402 N Pine St C, Lumberton, NC 28358-5563 |
| Donald F Peschong | Physician Assistant | Robeson Health Care Corporation | 705 A Lauchwood Dr, Laurinburg, NC 28352-5544 |
| Robin Yolanda Peace | Family Medicine | Robeson Health Care Corporation | 1309 E 5th St, Lumberton, NC 28358-6031 |
| Street Address |
1309 E 5TH ST |
| City | LUMBERTON |
| State | NC |
| Zip | 28358-6031 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robin Yolanda Peace | Family Medicine | Robeson Health Care Corporation | 1309 E 5th St, Lumberton, NC 28358-6031 |
| Krystal L Thompson | Nurse Practitioner | Robeson Health Care Corporation | 1309 E 5th St, Lumberton, NC 28358-6031 |
| Selena Hammonds Mcneill | Nurse Practitioner | Robeson Health Care Corporation | 1309 E 5th St, Lumberton, NC 28358-6031 |
| Lois J Iiams | Nurse Practitioner | Robeson Health Care Corporation | 1309 E 5th St, Lumberton, NC 28358-6031 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David R Allen | Orthopedic Surgery | Allen Orthopedics P A | 404 Hatfield Ct, Lumberton, NC 28358-1126 |
| Bonnie W Skiadiotis | Nurse Practitioner | Allen Orthopedics P A | 404 Hatfield Ct, Lumberton, NC 28358-1126 |
| Chris Evan Estrellado | Physical Therapy | Allen Orthopedics P A | 404 Hatfield Ct, Lumberton, NC 28358-1126 |
| James W Dove | Certified Registered Nurse Anesthetist (crna) | Southeastern Regional Medical Center | 300 W 27th St, Lumberton, NC 28358-1408 |
| Mary Elizabeth Devine | Certified Registered Nurse Anesthetist (crna) | Southeastern Regional Medical Center | 300 W 27th St, Lumberton, NC 28358-1408 |
| Kenneth C Madlangbayan | Certified Registered Nurse Anesthetist | Southeastern Regional Medical Center | 300 W 27th St, Lumberton, NC 28358-1408 |
| James R Pope Jr. | Certified Registered Nurse Anesthetist | Southeastern Regional Medical Center | 300 W 27th St, Lumberton, NC 28358-1408 |
| Holly H Metzerott | Certified Registered Nurse Anesthetist | Southeastern Regional Medical Center | 300 W 27th St, Lumberton, NC 28358-1408 |
| Jianfeng Zeng | Neurology | 4850 Fayetteville Rd E, Lumberton, NC 28358-2100 | |
| Tonna M Wyatt | Nurse Practitioner | Southeastern Regional Physician Services | 5070 Fayetteville Rd, Lumberton, NC 28358-2108 |
| Find all physicians in zip 28358 | |||
| City | LUMBERTON |
| Zip Code | 28358 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | LUMBERTON + PHYSICIAN ASSISTANT |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.