Mr. Brandon Shane Tolbert
Mr. Brandon Shane Tolbert is a Physician Assistant in Rutherford College, North Carolina. Qualified in 2019, 7 years ago. Practices with Proactive Therapy of North Carolina Inc, a 565-clinician group and accepts Medicare assignment.
- Years since qualifying
- 7
- In the registry since
- 2019
Practice location Address checks out
841 Malcolm BlvdRutherford College, NC 28671
Phone: (828) 874-3379
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|
Record details
| NPI number | 1740846971 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 13, 2019 |
| Last updated in NPPES | May 25, 2022 |
| Certification date | February 7, 2022 |
| Mailing address | 841 Malcolm Blvd, Rutherford College, NC 28671 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Group practice | Proactive Therapy Of North Carolina Inc — 565 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |