Active NPI
The Man Cave Testosterone and Wellness, PLLC
- Primary Care Clinic/Center
- Elizabethtown, NC
National Provider Identifier
1013624394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- THE MAN CAVE TESTOSTERONE AND WELLNESS, PLLC
- Practice address
- 2816 W Broad St
Elizabethtown, NC 28337-9245 - Phone
- (910) 801-0600
- NPI assigned
- Nov 4, 2022
- Last updated
- Nov 4, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Crystal M Rogers, DNP
- Title
- Family Nurse Practitioner
- Phone
- (910) 801-0600
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | NU | Primary |
Addresses
Primary practice location
2816 W Broad St
Elizabethtown, NC 28337-9245
Mailing address
PO Box 512
Dublin, NC 28332-0512
Phone (910) 991-5703
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Elizabethtown, NC
- NPI 1417387036
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667520000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1667520000000",
"number": "1013624394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 512",
"city": "DUBLIN",
"state": "NC",
"postal_code": "283320512",
"telephone_number": "910-991-5703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2816 W BROAD ST",
"city": "ELIZABETHTOWN",
"state": "NC",
"postal_code": "283379245",
"telephone_number": "910-801-0600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE MAN CAVE TESTOSTERONE AND WELLNESS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-04",
"last_updated": "2022-11-04",
"certification_date": "2022-11-04",
"status": "A",
"authorized_official_last_name": "ROGERS",
"authorized_official_first_name": "CRYSTAL",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
"authorized_official_telephone_number": "910-801-0600",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DNP"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elizabethtown, NC
- Shakonda Lashawn Strayhorn, M.D.
- Sunbridge Retirement Care Associates LLC (Poplar Heights Care and Rehabilitation Center)
- Suzanne S Huggins (Joss Medical Transport)
- Sandra D Sykes
- Margaret Veres Szott, COTA/L
- Anthony Quinn Thomas
- Rogenia Rae Toro, COTA/L
- Total Renal Care of North Carolina LLC (Southeastern Dialysis Center Elizabethtown)
- Tracie L. Vestal DDS PA
- Nancy West Tyndall, FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.