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Deactivated NPI 1811777428 Deactivated / Inactive NPI Male Practitioner

Quvares Brigham

Specialist • Martinez, GA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Quvares Brigham has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 02, 2023
NPI Deactivation Date January 24, 2024
Total Practice Duration ~1 Years of Practice (2023 – 2024)

Professional Overview & Biography Verified Profile Summary

Quvares Brigham was a registered Specialist practicing in Martinez, GA. Throughout an active medical career spanning 1 years, Quvares Brigham provided care at the practice location at 4015 WASHINGTON RD STE I until profile deactivation on 2024-01-24.

Practice Location & Contact Primary Location

Practice Address

4015 Washington Rd Ste I

Martinez, GA 309075188

Telephone 7064956179
Associated Practice Facility / Clinic
🏢 Qb Barber Services Llc Facility NPI 1477333086

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Martinez, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 36.1 Yrs
Regional Practice Density
2 Specialists

Practicing in Martinez, GA (979 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 24, 2024

Record deactivated on January 24, 2024

NPI Profile Active October 02, 2023

NPI status registered as active in NPPES database

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Updated Practice Location October 02, 2023

Registered at 4015 WASHINGTON RD STE I, MARTINEZ, GA 309075188 (Tel: 7064956179)

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Updated Business Mailing Address October 02, 2023

Registered at 4015 WASHINGTON RD STE I, MARTINEZ, GA 309075188 (Tel: 7064956179)

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Provider Name / Credentials Updated October 02, 2023

Recorded as QUVARES BRIGHAM

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 02, 2023

Specialist

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Initial NPI Registration & Enumeration October 02, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1811777428
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 02, 2023
Last Update: October 02, 2023
Deactivation Date: January 24, 2024

Mailing Address

4015 Washington Rd Ste I

Martinez, GA 309075188

Phone: 7064956179

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.