BRIAN VAN DOREN
NPI 1306581657
Student in an Organized Health Care Education/Training Program in Greenville, NC

Q: What is Brian Van Doren's NPI number?

The NPI number for Brian Van Doren is 1306581657. It was assigned to this individual provider in the NPPES registry on May 2, 2022.

Q: What is Brian Van Doren's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Brian Van Doren was last updated on May 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 02, 2022PECOS Enrolled

2100 STANTONSBURG RD, GREENVILLE, NC 27834(252) 744-2545 Get Directions Write a Review

NPPES record last updated: May 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 19, 2025, Mar 3, 2025, May 2, 2022 (3 updates tracked since 2022).

On this page

About Brian Van Doren NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIAN VAN DOREN (NPI 1306581657) is an individual student in an organized health care education/training program in Greenville, North Carolina, licensed in North Carolina (RTL25-0424) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Middletown.

NPPES Registry Identity

NPI1306581657

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameBRIAN VAN DOREN

Location Address2100 STANTONSBURG RDGreenville, NC 27834-2818

Mailing Address43 Sam Cobb LnPrinceton, MA 01541-1801 · (978) 790-9356

Phone(252) 744-2545

Sole ProprietorNo

Enumeration DateMay 2, 2022

Last NPPES UpdateMay 19, 20253 updates tracked since enumeration

NPPES CertifiedMay 19, 2025

✔ NPI 1306581657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in NC · RTL25-0424

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2100 STANTONSBURG RD, Greenville, NC 27834

Open in Google Maps ↗

Secondary Practice Location 1

Location 1707 E Main StMiddletown, NY 10940-2650 · Phone (845) 333-7373

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brian Van Doren is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHRYN M DONATO CRNA

Nurse Anesthetist, Certified Registered