Healthcare Provider Details

I. General information

NPI: 1619934700
Provider Name (Legal Business Name): CARL DEWAYNE BRINKMAN DC, PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2006
Last Update Date: 01/16/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23 TURTLE CREEK DR
ASHEVILLE NC
28803-3152
US

IV. Provider business mailing address

23 TURTLE CREEK DR
ASHEVILLE NC
28803-3152
US

V. Phone/Fax

Practice location:
  • Phone: 828-274-4555
  • Fax: 828-274-8348
Mailing address:
  • Phone: 828-274-4555
  • Fax: 828-274-8348

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number0010-03945
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2854SC
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: