Individual provider Active NPI

Elizabeth Marie Mulberry, MD

  • Internal Medicine Physician
  • Greensboro, NC
National Provider Identifier
1043398969
Registry record updated Oct 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
200001414 Issued in NC
Practice address
238 S English St
Greensboro, NC 27401-3648
Phone
(336) 763-0814
Fax
(336) 763-0815
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 200001414 NC Primary
Pediatrics Physician 208000000X 200001414 NC

Addresses

Primary practice location

238 S English St
Greensboro, NC 27401-3648

Mailing address

238 S English St
Greensboro, NC 27401-3648
Phone (336) 763-0814

Other identifiers 2

IdentifierTypeStateIssuer
127U7OtherNCBCBS OF NC
39154OtherNCPARTNERS MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071010000747 NC Practitioner - Internal MedicinePractitioner - Pediatric Medicine 3678669371 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

238 S English St
Greensboro, NC 27401-3648
Phone (336) 763-0814

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
200001414NCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mustard Seed Community Health Internal Medicine CurrentSince Jul 19, 2017 Accepting new patients
Eagle Physicians and Associates PA Internal Medicine CurrentSince Nov 2, 2013 Accepting new patients
Eagle Physicians and Associates PA Current Accepting new patients
Eagle Physicians and Associates PA CurrentSince Nov 2, 2013 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Sep 16, 2007 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation Internal Medicine CurrentSince Sep 16, 2007 Accepting new patients
Eagle Physicians and Associates PA Past Accepting new patients

Locations

1002 S Eugene St
Greensboro, NC 27406
Phone (336) 271-5999

201 E Wendover Ave
Greensboro, NC 27401
Phone (336) 275-6318

1046 E Wendover Ave
Greensboro, NC 27405
Phone (336) 272-1050

324 W Wendover Ave
Ste 200
Greensboro, NC 27408
Phone (336) 274-6515

1439 E Cone Blvd
Greensboro, NC 27405
Phone (336) 375-6104

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445558400000",
    "number": "1043398969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 S ENGLISH ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274013648",
            "telephone_number": "336-763-0814",
            "fax_number": "336-763-0815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 S ENGLISH ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274013648",
            "telephone_number": "336-763-0814",
            "fax_number": "336-763-0815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULBERRY",
        "first_name": "ELIZABETH",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2015-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "200001414",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "200001414",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "127U7",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS MEDICARE",
            "identifier": "39154",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.