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BRENT ANTHONY SUNDERLAND MD NPI 1487626750


NPI Information

NPI: 1487626750
Provider Name: BRENT ANTHONY SUNDERLAND, MD
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Individual

Specialization: Psychiatry

Address:
612 MOCKSVILLE AVENUE
CHARLOTTE, NC
ZIP 28144
Phone: (704) 210-5061
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Brent Anthony Sunderland, MD is a psychiatry psychiatry neurology in Charlotte, NC. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. Brent Anthony Sunderland, MD NPI is 1487626750. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

612 MOCKSVILLE AVENUE
CHARLOTTE, NC
ZIP 28144-732
Phone: (704) 210-5061
Fax: (704) 210-5337

The enumeration date for this NPI number is 2/2/2006 and was last updated on 10/20/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0800XPsychiatry & NeurologyPsychiatry200201631NORTH CAROLINAYes
22084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry200201631NORTH CAROLINANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1F43593MEDICARE UPINNORTH CAROLINA
2N01632MEDICAIDSOUTH CAROLINA
32040657MEDICARE PINNORTH CAROLINA
489133CAMEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.