Active NPI
Emergency Billing Group, LLC
- Emergency Medicine Physician
- Martinsville, VA
National Provider Identifier
1174567408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- EMERGENCY BILLING GROUP, LLC
- Practice address
- 320 Hospital Dr
Emergency Dept.
Martinsville, VA 24112-1900 - Phone
- (540) 666-7237
- NPI assigned
- Jun 16, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bruce E Mazurek, M.D.
- Title
- Authorized Official
- Phone
- (276) 666-7237
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary |
Addresses
Primary practice location
320 Hospital Dr
Emergency Dept.
Martinsville, VA 24112-1900
Mailing address
PO Box 2080
Kilmarnock, VA 22482-2080
Phone (804) 435-3508
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 790189Q | Medicaid | NC | |
| 038298 | Other | ANTHEM BCBS GRP # |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Emergency Medicine Physician
- Martinsville, VA
- NPI 1912925561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205366400000",
"number": "1174567408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2080",
"city": "KILMARNOCK",
"state": "VA",
"postal_code": "224822080",
"telephone_number": "804-435-3508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 HOSPITAL DR",
"address_2": "EMERGENCY DEPT.",
"city": "MARTINSVILLE",
"state": "VA",
"postal_code": "241121900",
"telephone_number": "540-666-7237"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMERGENCY BILLING GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-16",
"last_updated": "2008-03-13",
"status": "A",
"authorized_official_last_name": "MAZUREK",
"authorized_official_first_name": "BRUCE",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "276-666-7237",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "790189Q",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS GRP #",
"identifier": "038298",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Martinsville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.