Provider Profile

Brent C. Deatherage, PA-C

Unclaimed Profile

About Brent Deatherage

Listed in the NPI registry as a physician assistant — medical, Brent C. Deatherage, PA-C practices in Charlotte, NC. Brent is also listed as specializing in physician assistant — surgical.

Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it — free, and no identity document with a practice or institutional email.

Education & Training

School Other Graduated: 2008

Specialty

Physician Assistant — Medical (Primary)
Physician Assistant — Medical (Additional)

Credentials & Licensing

NC license0010-03428
FL licensePA9104956
NPI1336373257
NPI issued05/06/2009

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Brent C. Deatherage specialize in?

Brent C. Deatherage is a physician assistant in Charlotte, NC. That is the designation recorded for this NPI in the federal registry, where it is listed as “Physician Assistant — Medical”.

NPI registry

Where is Brent C. Deatherage located?

Brent C. Deatherage is listed at 1900 Randolph Rd Suite 900, Charlotte, NC 28207. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Brent C. Deatherage's phone number?

The number on file is (704) 377-2424. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is the NPI for Brent C. Deatherage?

Brent C. Deatherage's National Provider Identifier is 1336373257. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Brent C. Deatherage train?

Brent C. Deatherage attended Other, graduating in 2008. This comes from the CMS National Downloadable File.

CMS public data

How much experience does Brent C. Deatherage have?

Brent C. Deatherage has 18 years experience. Calculated from a graduation year of 2008, reported in the CMS National Downloadable File.

CMS public data

Is Brent C. Deatherage's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Brent C. Deatherage. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.