Briana Bloembergen, CNM | |
1718 E 4th St Ste 907, Charlotte, NC 28204 | |
(704) 372-4000 | |
(704) 334-4855 |
Full Name | Briana Bloembergen |
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Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 1718 E 4th St Ste 907, Charlotte, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790101459 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | 688 (North Carolina) | Primary |
367A00000X | Advanced Practice Midwife | 209011309 (Illinois) | Secondary |
Entity Name | Little Company Of Mary Affiliated Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033162086 PECOS PAC ID: 5193629202 Enrollment ID: O20040127000775 |
Mailing Address | Practice Location Address |
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Briana Bloembergen, CNM Po Box 60447, Charlotte, NC 28260-0447 Ph: () - | Briana Bloembergen, CNM 1718 E 4th St Ste 907, Charlotte, NC 28204 Ph: (704) 372-4000 |
Norma Ramirez, Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 251 Eastway Dr, Charlotte, NC 28213 Phone: 704-446-9991 | |
Stacey Haynes Archer, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1350 S Kings Dr, Charlotte, NC 28207 Phone: 704-446-1544 | |
Barbara Jean Shaffer, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 8800 N Tryon St, Charlotte, NC 28262 Phone: 704-863-6000 | |
Kathy Sharon Shields, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 1025 Morehead Medical Dr, Ste 400, Charlotte, NC 28204 Phone: 704-446-1700 | |
Jasmine Bates-marshall, CNM, RN Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 2015 Ayrsley Town Blvd Ste 202, Charlotte, NC 28273 Phone: 980-272-7126 | |
Tianna Kathryn Powell Greene, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 10628 Park Rd, Charlotte, NC 28210 Phone: 704-667-1000 | |
Lori Rebecca Williamson, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 13640 Steelecroft Pkwy, Ste 240, Charlotte, NC 28278 Phone: 704-512-3860 |