Provider Demographics
NPI:1174584015
Name:BRAMBLE, JAMES MICHAEL (MA LPA HSP)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:MICHAEL
Last Name:BRAMBLE
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Gender:M
Credentials:MA LPA HSP
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Mailing Address - Street 1:1822 S GLENBURNIE RD STE 6
Mailing Address - Street 2:PMB 147
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28562-5221
Mailing Address - Country:US
Mailing Address - Phone:252-638-8249
Mailing Address - Fax:252-638-8248
Practice Address - Street 1:2002 S GLENBURNIE RD
Practice Address - Street 2:UNIT D-5
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28562-5229
Practice Address - Country:US
Practice Address - Phone:252-638-8249
Practice Address - Fax:252-638-8248
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-30
Last Update Date:2011-10-31
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Provider Licenses
StateLicense IDTaxonomies
NC565103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1353ROtherBC
NC6107262Medicaid
NC192726OtherMEDCOST
NC795356000OtherMAGELLAN
NC204836986OtherTRICARE