EAGLE FAMILY MEDICINE @ BRASSFIELD
NPI 1710073606
Family Medicine in Greensboro, NC
NPI Status: Active since October 05, 2006
Contact Information
3800 ROBERT PORCHER WAY
SUITE 200
GREENSBORO, NC
ZIP 27410
Phone: (336) 282-0376
Fax: (336) 282-0379
- Organization
- Family Medicine
- Accepts Insurance
- CLIA Number: 34D0666106
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-24-2026
About EAGLE FAMILY MEDICINE @ BRASSFIELD
This page provides the complete NPI Profile along with additional information for Eagle Family Medicine @ Brassfield, a primary care provider established in Greensboro, North Carolina operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1710073606 assigned on October 2006. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. Eagle Family Medicine @ Brassfield operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Eagle Family Medicine @ Brassfield. The authorized official of this NPI record is Terri S. Jones (Director, Eagle Business Services)
- NPI
- 1710073606
- Provider Legal Name
- EAGLE PHYSICIANS AND ASSOCIATES PA
- Other Organization Name
- EAGLE FAMILY MEDICINE @ BRASSFIELD
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 3800 ROBERT PORCHER WAY SUITE 200 GREENSBORO, NC 27410
- Location Phone
- (336) 282-0376
- Location Fax
- (336) 282-0379
- Mailing Address
- PO BOX 14883 GREENSBORO, NC 27415
- Mailing Phone
- (336) 282-0376
- Mailing Fax
- (336) 282-0379
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 10-05-2006
- Last Update Date
- 09-24-2015
- Code Navigator
A primary care provider (PCP) like Eagle Family Medicine @ Brassfield sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Adult Dental+Vision - HMO
- Connect Bronze 5500 Indiv Med Deductible - HMO
- Connect Bronze 6500 Indiv Med Deductible - HMO
- Connect Bronze CMS Standard - HMO
- Connect Gold CMS Standard - HMO
- Connect Silver 3500 Indiv Med Deductible - HMO
- Connect Silver 4400 Indiv Med Deductible - HMO
- Connect Silver CMS Standard - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| CB9132 | MEDICARE PIN (08) | NC | |
| 2318442 | MEDICARE PIN (08) | NC | |
| 890287U | MEDICAID (05) | NC | |
| 0287U | OTHER (01) | NC | BCBS OF NC |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 34D0666106
- Facility Type
- Physician Office
- Certificate Effective Date
- March 25, 2024
- Certificate Expiration Date
- March 24, 2026
- Laboratory Director
- DIBAS KOIRALA
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Eagle Family Medicine @ Brassfield in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 1 | 0 | 0 | 7 | 3 | 6 | 0 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 2 | 0 | 0 | 7 | 6 | 6 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 2 + 0 + 0 + 7 + 6 + 6 + 0 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1710073606 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 8 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1043306244 | ROBERT N KOEHLER M.D. Individual | Family Medicine | 3800 ROBERT PORCHER WAY SUITE 200 GREENSBORO, NC 27410 (336) 282-0376 |
| 1700972866 | CAROLA J WESTERMANN M.D. Individual | Family Medicine | 3800 ROBERT PORCHER WAY SUITE 200 GREENSBORO, NC 27410 (336) 282-0376 |
| 1750555090 | DR. ROBERT MORRIS YOUNG DDS, PA Individual | Dentist | 3800 ROBERT PORCHER WAY SUITE 100 GREENSBORO, NC 27410 (336) 545-5335 |
| 1316033657 | DONNA R GATES M.D. Individual | Family Medicine | 3800 ROBERT PORCHER WAY SUITE 200 GREENSBORO, NC 27410 (336) 282-0376 |
| 1730166794 | DR. AARON S MORROW MD Individual | Family Medicine | 3800 ROBERT PORCHER WAY SUITE 200 GREENSBORO, NC 27410 (336) 282-0376 |
| 1467498980 | SHARON A WOLTERS M.D. Individual | Family Medicine | 3800 ROBERT PORCHER WAY SUITE 200 GREENSBORO, NC 27410 (336) 282-0376 |
| 1417187790 | DIBAS KOIRALA M.D Individual | Family Medicine | 3800 ROBERT PORCHER WAY SUITE 200 GREENSBORO, NC 27410 (336) 282-0376 |
| 1356667570 | DR. CAROL DWAN WEBB M.D. Individual | Family Medicine | 3800 ROBERT PORCHER WAY GREENSBORO, NC 27410 (336) 282-0376 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1710073606, enumerated in the NPI registry as an "organization" on October 05, 2006
The provider is located at 3800 Robert Porcher Way Suite 200 Greensboro, Nc 27410 and the phone number is (336) 282-0376
This medical organization specializes in Family Medicine with taxonomy code 207Q00000X
The provider might be accepting Accepts: Aetna CVS Health, Cigna Healthcare, Medicare,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 34D0666106 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on October 05, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.