Organization Active NPI

Glen Alford & Associates PLLC

  • Adult Medicine Physician
  • Wilkesboro, NC
National Provider Identifier
1184790446
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
GLEN ALFORD & ASSOCIATES PLLC
Practice address
1016 Fletcher St
Wilkesboro, NC 28697-9472
Phone
(336) 667-9261
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Debra Kay Alford
Title
Trustee
Phone
(336) 667-8228

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0505X NC Primary

Addresses

Primary practice location

1016 Fletcher St
Wilkesboro, NC 28697-9472

Mailing address

146 Hollowview Dr
P O Box 239
Wilkesboro, NC 28697-7412
Phone (336) 667-8228

Other identifiers 1

IdentifierTypeStateIssuer
1558463489OtherNCINDIVIDUAL NPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184790446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 HOLLOWVIEW DR",
            "address_2": "P O BOX 239",
            "city": "WILKESBORO",
            "state": "NC",
            "postal_code": "286977412",
            "telephone_number": "336-667-8228",
            "fax_number": "336-667-2899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 FLETCHER ST",
            "city": "WILKESBORO",
            "state": "NC",
            "postal_code": "286979472",
            "telephone_number": "336-667-9261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLEN ALFORD & ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALFORD",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "TRUSTEE",
        "authorized_official_telephone_number": "336-667-8228"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1558463489",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkesboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.