1. Home
  2. Directory
  3. North Carolina
  4. Supply
  5. Specialist
  6. NPI Profile

BRUNSWICK CARDIOLOGY
NPI 1821112673
Specialist in Supply, NC

Active since March 19, 2007CLIA 34D1050261 · Waiver
20 MEDICAL CAMPUS DR NW STE 203, SUPPLY, NC 28462(910) 755-7192(910) 755-7194 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 2, 2025, Jan 7, 2025, Aug 2, 2024 and 1 more (4 updates tracked since 2021).

About Brunswick Cardiology NPPES

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

BRUNSWICK CARDIOLOGY (NPI 1821112673), doing business as Brunswick Cardiology,pc, is a healthcare organization registered as a specialist in Supply, North Carolina and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through January 29, 2028 and lists Rebecca Little, Office Assistant, as its authorized official.

NPPES Registry Identity

NPI1821112673
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameBRUNSWICK CARDIOLOGY
Location Address20 MEDICAL CAMPUS DR NW STE 203Supply, NC 28462-4094
Mailing AddressPo Box 427Supply, NC 28462-0427 · (910) 755-7192 · Fax (910) 755-7194
Phone(910) 755-7192
Fax(910) 755-7194
Organization SubpartNo
Authorized OfficialRebecca LittleOffice Assistant · (910) 755-7192
Enumeration DateMarch 19, 2007
Last NPPES UpdateSeptember 2, 20254 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2025
✔ NPI 1821112673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NC · 35196
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
20 MEDICAL CAMPUS DR NW STE 203, Supply, NC 28462
Open in Google Maps ↗

Other Names 1

Doing Business AsBrunswick Cardiology,pc

Other Identifiers 4

Medicaid8975177NC
Other561776208BNC · Cigna Healthcare
Other75177NC · Blue Cross Blue Shield
Other2207970NC · United Healthcare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D1050261

Brunswick Cardiology PC · Supply, NC
Active · expires Jan 29, 2028
CLIA Number34D1050261
Laboratory TypePhysician Office
Certificate Effective DateJanuary 30, 2026
Certificate Expiration DateJanuary 29, 2028
Laboratory DirectorPhyllis Ridgley Lpn
Laboratory Phone(910) 755-7192
Laboratory LocationBrunswick Cardiology PC20 Medical Campus Dr Ste 203, Supply, NC 28462
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. JEFFREY D SEDER M.D.
Internal Medicine
20 MEDICAL CAMPUS DR NW STE 203
SUPPLY, NC 28462
Brunswick County (910) 755-7192

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brunswick Cardiology's NPI number?

The NPI number for Brunswick Cardiology is 1821112673. It was assigned to this organization in the NPPES registry on March 19, 2007. The provider is doing business as Brunswick Cardiology,PC.

Where is Brunswick Cardiology located?

Brunswick Cardiology is located at 20 Medical Campus Dr NW Ste 203, Supply, NC 28462. The listed phone number is (910) 755-7192.

What is Brunswick Cardiology's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Brunswick Cardiology hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D1050261) is associated with this NPI, valid through January 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Brunswick Cardiology was last updated on September 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.