| Brown Summit Family Medicine | |
|
4901 E Nc Highway 150 Browns Summit NC 27214-9719 | |
| (336) 656-9905 | |
| (336) 656-5227 |
| Full Name | Brown Summit Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 4901 E Nc Highway 150, Browns Summit, North Carolina |
| Authorized Official Name and Position | Jared Cooper (DIRECTOR, CHMG OPERATIONS) |
| Authorized Official Contact | 3366635044 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brown Summit Family Medicine 1200 N Elm St Greensboro NC 27401-1004 Ph: () - | Brown Summit Family Medicine 4901 E Nc Highway 150 Browns Summit NC 27214-9719 Ph: (336) 656-9905 |
| NPI Number | 1417383837 |
|---|---|
| Provider Enumeration Date | 09/17/2013 |
| Last Update Date | 06/14/2023 |
| Medicare PECOS PAC ID | 2769395458 |
|---|---|
| Medicare Enrollment ID | O20140416000469 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417383837 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Warren T Pickard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265659288 PECOS PAC ID: 7416022496 Enrollment ID: I20080826000833 |
| Provider Name | Crystal Ammons Bates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457590507 PECOS PAC ID: 5698013639 Enrollment ID: I20190215002724 |
| Provider Name | Jessica Asaro Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972110708 PECOS PAC ID: 6608288055 Enrollment ID: I20201209001957 |
| Provider Name | Amber Stroupe Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801585732 PECOS PAC ID: 6204296569 Enrollment ID: I20230718002558 |