| Brevard Family Practice | |
|
187 Medical Park Dr. Brevard NC 28712 | |
| (828) 884-9362 | |
| (828) 884-3815 |
| Full Name | Brevard Family Practice |
|---|---|
| Speciality | Internal Medicine |
| Location | 187 Medical Park Dr., Brevard, North Carolina |
| Authorized Official Name and Position | Robert J Bednarek (PRESIDENT CEO TPSI) |
| Authorized Official Contact | 8288849111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brevard Family Practice 187 Medical Park Dr. Brevard NC 28712 Ph: (828) 884-9362 | Brevard Family Practice 187 Medical Park Dr. Brevard NC 28712 Ph: (828) 884-9362 |
| NPI Number | 1871548040 |
|---|---|
| Provider Enumeration Date | 05/24/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 5092790535 |
|---|---|
| Medicare Enrollment ID | O20040621000375 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871548040 | NPI | - | NPPES |
| 0280W | Other | NC | BLUE CROSS BLUE SHIELD |
| 187581 | Other | NC | MEDCOST |
| 890280W | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Mark Warren Mcclure |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1083627624 PECOS PAC ID: 9638161094 Enrollment ID: I20040402001134 |
| Provider Name | Mark S Lemel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1114920519 PECOS PAC ID: 1456341874 Enrollment ID: I20040517000646 |
| Provider Name | Robert Dee Vaughn |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942291232 PECOS PAC ID: 0143291930 Enrollment ID: I20040804001323 |
| Provider Name | Angus Woodward Graham |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417950825 PECOS PAC ID: 1153218540 Enrollment ID: I20041111001117 |
| Provider Name | Brian Patrick Barrow |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962602755 PECOS PAC ID: 1254463391 Enrollment ID: I20100724000314 |
| Provider Name | Jamie Lauren Ramsey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720310691 PECOS PAC ID: 6305018920 Enrollment ID: I20111004000320 |
| Provider Name | Javeria Shaheen Qureshi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255532784 PECOS PAC ID: 1052536331 Enrollment ID: I20150804003737 |
| Provider Name | John W Simmons |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386840874 PECOS PAC ID: 6204150246 Enrollment ID: I20150824002357 |
| Provider Name | Melvin Dubose Medlock |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467455493 PECOS PAC ID: 9638153539 Enrollment ID: I20150921001483 |
| Provider Name | Mario D La Giglia |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013145697 PECOS PAC ID: 2860782927 Enrollment ID: I20160601001377 |
| Provider Name | Marco Chavarria -aguilar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245224989 PECOS PAC ID: 0648213140 Enrollment ID: I20160816000012 |
| Provider Name | Lara Hammond |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1235167149 PECOS PAC ID: 8426051319 Enrollment ID: I20161108002219 |
| Provider Name | Jack Zuckerman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1508093428 PECOS PAC ID: 3476773938 Enrollment ID: I20170121000285 |
| Provider Name | Thomas Alan Starnes |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1548607591 PECOS PAC ID: 4789827312 Enrollment ID: I20171204000433 |
Pardee Bluemd-1409 Asheville Highway Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1409 Asheville Hwy, Brevard, NC 28712 Phone: 828-435-8400 Fax: 828-435-8401 | |
Brevard College Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Brevard College Dr, Brevard, NC 28712 Phone: 972-367-4845 | |
Asheville Cardiology Associates - Brevard Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 89 Medical Park Dr, Suite C, Brevard, NC 28712 Phone: 828-883-2131 Fax: 828-883-4550 | |
Blue Mountain Medicine Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 150 S Caldwell St, Brevard, NC 28712 Phone: 828-883-4040 Fax: 828-883-4060 | |
Brevard Internal Medicine And Pulmonology At Transylvania Regional Hos Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 159 Medical Park Drive, Suite B, Brevard, NC 28712 Phone: 828-885-5709 Fax: 828-885-5766 | |
Pineiro Family Practice, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 342 S Caldwell St, Brevard, NC 28712 Phone: 828-883-8181 Fax: 828-883-8711 | |
Mission Weight Management Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 260 Hospital Dr, Brevard, NC 28712 Phone: 828-213-4100 |