Active NPI
Bradley Davis Templeton, M.D.
- Internal Medicine Physician
- North Wilkesboro, NC
National Provider Identifier
1093890097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 24818
- Practice address
- 702 13TH St
North Wilkesboro, NC 28659-4075 - Phone
- (336) 667-5296
- Fax
- (336) 667-0864
- NPI assigned
- Oct 26, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 24818 | NC | Primary |
Addresses
Primary practice location
702 13TH St
North Wilkesboro, NC 28659-4075
Mailing address
PO Box 1348
North Wilkesboro, NC 28659-1348
Phone (336) 667-5296
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1263287 | Other | UNITED MINE WORKERS | |
| 82392 | Other | NC | BCBSNC |
| P00188116 | Other | RAILROAD MEDICARE | |
| 8982392 | Medicaid | NC | |
| 3429 | Other | PARTNERS | |
| 3444456 | Other | CIGNA | |
| 0407426 | Other | UNITED HEALTHCARE |
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 |
|---|---|---|---|
| 24818 | NC | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378166400000",
"number": "1093890097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1348",
"city": "NORTH WILKESBORO",
"state": "NC",
"postal_code": "286591348",
"telephone_number": "336-667-5296",
"fax_number": "336-667-0864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "702 13TH ST",
"city": "NORTH WILKESBORO",
"state": "NC",
"postal_code": "286594075",
"telephone_number": "336-667-5296",
"fax_number": "336-667-0864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEMPLETON",
"first_name": "BRADLEY",
"middle_name": "DAVIS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-26",
"last_updated": "2013-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "24818",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED MINE WORKERS",
"identifier": "1263287",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSNC",
"identifier": "82392",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00188116",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8982392",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARTNERS",
"identifier": "3429",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "3444456",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "0407426",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in North Wilkesboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.