Lisa M Bookert M.D. PA.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

30780 Issued in NC

Legal business name

LISA M BOOKERT M.D. PA.

Practice address

900 S Lombard St
Clayton, NC 27520-2737

Phone

(919) 553-6060

Fax

(919) 553-4747

NPI assigned

Jan 11, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Lisa M Bookert, M.D.

Title

President

Phone

(919) 553-6060

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• clayton family practice Other name

Locations

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

{
    "created_epoch": "1294704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294704000000",
    "number": "1124323803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 S LOMBARD ST",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275202737",
            "telephone_number": "919-553-6060",
            "fax_number": "919-553-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S LOMBARD ST",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275202737",
            "telephone_number": "919-553-6060",
            "fax_number": "919-553-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA M BOOKERT M.D. PA.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-11",
        "last_updated": "2011-01-11",
        "status": "A",
        "authorized_official_last_name": "BOOKERT",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-553-6060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NC",
            "license": "30780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8916757",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "clayton family practice",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Primary Care Clinic/Center in Clayton, NC
• Providers in Clayton, NC by specialty
• Primary Care Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.