Active NPI
Richard John Gugelmann, M.D.
- Pediatrics Physician
- Chapel Hill, NC
National Provider Identifier
1124168414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 21185
- Practice address
- 976 Martin Luther King Jr Blvd
Suite 150 Business Bookkeepers
Chapel Hill, NC 27514-2654 - Phone
- (919) 259-9885
- NPI assigned
- Feb 7, 2007
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 21185 | NC | Primary |
Addresses
Primary practice location
976 Martin Luther King Jr Blvd
Suite 150 Business Bookkeepers
Chapel Hill, NC 27514-2654
Mailing address
2025 S Lakeshore Dr
Chapel Hill, NC 27514-2030
Phone (919) 942-7413
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 |
|---|---|---|---|
| 21185 | NC | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124168414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2025 S LAKESHORE DR",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275142030",
"telephone_number": "919-942-7413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "976 MARTIN LUTHER KING JR BLVD",
"address_2": "SUITE 150 BUSINESS BOOKKEEPERS",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275142654",
"telephone_number": "919-259-9885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUGELMANN",
"first_name": "RICHARD",
"middle_name": "JOHN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "21185",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.