CMS-1500 Box 24J / 33a • NPI
1952364689
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207P00000X (CMS 93)
Board-Certified Emergency Medicine Physician (ER / Trauma Doctor)
Box 32 Service Location & ZIP+4
240 HOSPITAL DR NE, BOLIVIA, NC, 28422-8346
✓ 9-Digit EDI 837 ZIP+4 (28422-8346)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1952364689 (HEATHER C BRAITHWAITE, MD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
✓ Eligible
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1952364689)
Medicare Beneficiaries
298
Total Billed Services
432
Distinct CPT/HCPCS Codes
17
Medicare Allowed Total
$46,440.45
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 118 |
99284 | Emergency department visit with moderate level of medical decision making | 85 |
99285 | Emergency department visit with high level of medical decision making | 199 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Cephalexin Cephalexin | 13 | 13 |
| Ondansetron Odt Ondansetron | 13 | 12 |
| Oxycodone Hcl Oxycodone Hcl | 27 | 27 |
| Prednisone Prednisone | 14 | 14 |
| Xarelto Rivaroxaban | 13 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1952364689 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | HEATHER C BRAITHWAITE, MD |
| Plain-English Specialty | Board-Certified Emergency Medicine Physician (ER / Trauma Doctor) NUCC Code: 207P00000X (Emergency Medicine) |
| Certifying / Licensing Body | American Board of Emergency Medicine (ABEM) |
| Practice Location Address | 240 HOSPITAL DR NE, BOLIVIA, NC, 28422-8346 |
| Practice Telephone / Fax | Tel: (843) 497-5929 | Fax: (843) 839-4448 |
| Administrative Mailing Address | PO BOX 3439, NORTH MYRTLE BEACH, SC, 29582-0439 |
| Enumeration & Last Sync | Enumerated: 2006-04-12 | CMS Record Updated: 2017-01-20 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (207P00000X)
What Does Taxonomy Code 207P00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207P00000X translates to:
"Board-Certified Emergency Medicine Physician (ER / Trauma Doctor)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (HEATHER C BRAITHWAITE, MD)
Typical CPT / Diagnostic Procedures:- Level 4 & Level 5 Emergency Department Resuscitation (CPT 99284–99285)
- Point-of-Care Emergency Ultrasound (eFAST), Intubation & Central Line Placement
- Acute Laceration Repair, Tetanus Prophylaxis & Fracture Splinting
- Epinephrine Auto-Injectors / IV Infusions, Atropine & Amiodarone
- Tetanus Toxoid / Tdap & Tetanus Immunoglobulin (TIG)
- Empiric Sepsis Antibiotics, Parenteral Ketorolac & Ondansetron
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207P00000X — Emergency MedicinePlain English: Board-Certified Emergency Medicine Physician (ER / Trauma Doctor) | State: NC | License: 200400015 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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