Active NPI
Eric L Dean, MD
- Internal Medicine Physician
- Greensboro, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25680
- Practice address
- 1409 Yanceyville St
Suite C
Greensboro, NC 27405-6960 - Phone
- (336) 954-1007
- Fax
- (336) 954-1183
- NPI assigned
- Apr 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 25680 | NC | Primary |
Addresses
Primary practice location
1409 Yanceyville St
Suite C
Greensboro, NC 27405-6960
Mailing address
PO Box 13118
Greensboro, NC 27415-3118
Phone (336) 954-1007
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0172W | Other | NC | BCBS ID # |
| 7927976 | Medicaid | NC | |
| 890172W | Medicaid | NC | |
| 25680 | Other | NC | STATE LICENSE # |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of North Carolina at Chapel Hill School of Medicine, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1409 Yanceyville St
Suite C
Greensboro, NC 27405-6961
Phone (336) 954-1007
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25680 | NC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dean Internal Medicine | Internal Medicine | Current | Accepting new patients |
| Triad Adult and Pediatric Medicine, Inc. | Current | Accepting new patients |
Locations
1002 S Eugene St
Greensboro, NC 27406
Phone (336) 271-5999
1409 Yanceyville St
Ste C
Greensboro, NC 27405
Phone (336) 698-3157
Interoperability endpoints
- ericdeanmd@deanintmed.officeally.direct
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Greensboro, NC
- NPI 1730505462
-
- Family Medicine Physician
- Greensboro, NC
- NPI 1881059723
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Greensboro, NC
- NPI 1093738072
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1154383461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 13118",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274153118",
"telephone_number": "336-954-1007",
"fax_number": "336-954-1183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1409 YANCEYVILLE ST",
"address_2": "SUITE C",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274056960",
"telephone_number": "336-954-1007",
"fax_number": "336-954-1183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEAN",
"first_name": "ERIC",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-03",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "25680",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS ID #",
"identifier": "0172W",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7927976",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890172W",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE #",
"identifier": "25680",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.