Individual provider Active NPI

Eric L Dean, MD

  • Internal Medicine Physician
  • Greensboro, NC
National Provider Identifier
1154383461
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25680 Issued in NC
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

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0172WOtherNCBCBS ID #
7927976MedicaidNC
890172WMedicaidNC
25680OtherNCSTATE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080813000500 NC Practitioner - Internal Medicine 4789759598 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
25680NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dean Internal Medicine Internal Medicine CurrentSince Apr 10, 2014 Accepting new patients
Triad Adult and Pediatric Medicine, Inc. CurrentSince Mar 31, 2018 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.