Jordan Daniel Broman-Fulks, M.D.
NPI 1558749598ActiveIndividual· Pediatrics· Asheville, NC
Pediatrics (M.D.) with University of North Carolina at Chapel Hill, practicing in Asheville, North Carolina. Enrolled in Medicare as practitioner - neurology.
Overview
| NPI | 1558749598 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | May 11, 2015 |
| Last updated in NPPES | Sep 8, 2020 |
| Certified by provider | Aug 10, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | 210624 | NC |
| Student in an Organized Health Care Education/Training Program | 390200000X | 210624 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Neurology (NC) |
|---|
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Neurology |
Medical group
- University of North Carolina at Chapel HillChapel Hill, NC · 2,052 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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