Active NPI
Hartwell Z Hildebrand, MD
- Family Medicine Physician
- Charlotte, NC
National Provider Identifier
1053404699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 36536
- Practice address
- 7810 Providence Rd
Suite 102
Charlotte, NC 28226-2954 - Phone
- (704) 543-6636
- Fax
- (704) 541-9476
- NPI assigned
- Oct 2, 2006
- Last updated
- Dec 10, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 36536 | NC | Primary |
Addresses
Primary practice location
7810 Providence Rd
Suite 102
Charlotte, NC 28226-2954
Mailing address
PO Box 60099
Charlotte, NC 28260-0099
Phone (704) 543-6636
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40958 | Medicaid | SC | |
| 1053404699 | Medicaid | NC | |
| 89134HR | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36536 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Union Urgent Care LLC | Family Medicine | Past | Accepting new patients |
| Cleveland Health Ventures LLC | Family Medicine | Past | Accepting new patients |
| Carolinas Physicians Network Inc | Family Medicine | Past | Accepting new patients |
| Union Urgent Care LLC | Family Medicine | Past | Accepting new patients |
| Cabarrus Urgent Care | Family Medicine | Past | Accepting new patients |
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Concord, NC
- NPI 1922037845
-
dba Atrium Health Urgent Care
- Family Medicine Physician
- Huntersville, NC
- NPI 1508892746
-
dba Carolinas HealthCare Urgent Care - Monroe
- Durable Medical Equipment & Medical Supplies
- Monroe, NC
- NPI 1063421469
Family Medicine
-
dba Carolinas HealthCare Urgent Care - Union West
- Family Medicine Physician
- Indian Trail, NC
- NPI 1659380079
-
dba Clover Family Medicine
- Family Medicine Physician
- Clover, SC
- NPI 1225205800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418169600000",
"number": "1053404699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60099",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600099",
"telephone_number": "704-543-6636",
"fax_number": "704-541-9476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7810 PROVIDENCE RD",
"address_2": "SUITE 102",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282262954",
"telephone_number": "704-543-6636",
"fax_number": "704-541-9476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILDEBRAND",
"first_name": "HARTWELL",
"middle_name": "Z",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2014-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "36536",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40958",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1053404699",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89134HR",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.