Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Channing Broyan

Individual provider Physician Assistant · NPI 1952719205

Channing Broyan is a Physician Assistant in Wilmington, North Carolina. Qualified in 2013, 13 years ago. Practices with Skin Surgery Center PA, a 71-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
13
Licensed in
NC
In the registry since
2014
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Practice location Address checks out

1442 Military Cutoff Rd
Wilmington, NC 28403-3605
Phone: (910) 256-6088
Fax: (910) 256-6089
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-04910 (NC)

Record details

NPI number1952719205
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 31, 2014
Last updated in NPPESFebruary 10, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Skin Surgery Center Pa — 71 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Wilmington