Individual provider Active NPI

Alvin J Murn, M.D.

  • Emergency Medicine Physician
  • Fayetteville, NC
National Provider Identifier
1225081268
Registry record updated Feb 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
200201289 Issued in NC
Practice address
1638 Owen Dr
Fayetteville, NC 28304-3424
Phone
(910) 615-8780
Fax
(910) 321-6250
NPI assigned
May 19, 2006
Last updated
Feb 15, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 200201289 NC Primary

Addresses

Primary practice location

1638 Owen Dr
Fayetteville, NC 28304-3424

Mailing address

107 Rutan CT
Mooresville, NC 28117-8497
Phone (704) 660-6117

Other identifiers 4

IdentifierTypeStateIssuer
930123900OtherNCRR MEDICARE
89-132UYMedicaidNC
132UYOtherNCBCBSNC
N01280MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA, PA, TX, IA5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20050106000132 NC Practitioner - Emergency Medicine 0648228601 Reassigns benefits to 1 organization
I20170125002699 VA Practitioner - Emergency Medicine 0648228601 Reassigns benefits to 4 organizations
I20170131000541 PA Practitioner - Emergency Medicine 0648228601 Reassigns benefits to 3 organizations
I20210927002736 TX Practitioner - Emergency Medicine 0648228601 Reassigns benefits to 1 organization
I20220413000437 IA Practitioner - Emergency Medicine 0648228601 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
200201289NCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Care Services of Pennsylvania, P.C. Emergency Medicine Current Accepting new patients
Emergency Care Services of Pennsylvania, P.C. Emergency Medicine CurrentSince Jun 1, 2019 Accepting new patients
United Emergency Services, Inc. Emergency Medicine CurrentSince Dec 10, 2018 Accepting new patients
Dubois Regional Medical Center CurrentSince Jan 1, 2017 Accepting new patients
Western Virginia Regional Emergency Physicians, LLC Emergency Medicine CurrentSince Oct 23, 2018 Accepting new patients
Emergency Physicians of Southern Virginia LLP Emergency Medicine CurrentSince Jun 1, 2017 Accepting new patients
Genesis Health System CurrentSince Feb 23, 2022 Accepting new patients
Genesis Health System Emergency Medicine CurrentSince Feb 23, 2022 Accepting new patients
Acs Primary Care Physicians Southwest, PA Emergency Medicine CurrentSince Sep 1, 2021 Accepting new patients
J C Blair Memorial Hospital CurrentSince Nov 17, 2020 Accepting new patients
J C Blair Memorial Hospital CurrentSince Nov 17, 2020 Accepting new patients
Dubois Regional Medical Center Emergency Medicine CurrentSince Jan 1, 2017 Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients
Clearfield Hospital Emergency Medicine Past Accepting new patients
Mid-Atlantic Emergency Medical Associates, PLLC Emergency Medicine Past Accepting new patients
Emergency Physicians of Pittsburgh, LTD Past Accepting new patients
Clearfield Hospital Past Accepting new patients

Locations

865 Lincoln Rd
Ste 100
Bettendorf, IA 52722
Phone (563) 355-1000

1227 E Rusholme St
Davenport, IA 52803
Phone (563) 324-8160

4700 E 56th St
Ste 100
Davenport, IA 52807
Phone (563) 383-2667

809 Turnpike Ave
Clearfield, PA 16830
Phone (814) 765-5341

100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040

100 Hospital Ave
Ofc
Dubois, PA 15801

1225 Warm Springs Ave
Huntingdon, PA 16652
Phone (814) 643-8206

200 Fleetwood Dr
Easley, SC 29640
Phone (864) 442-7200

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

16000 Johnston Memorial Dr
Abingdon, VA 24211
Phone (276) 258-1000

142 S Main St
Danville, VA 24541
Phone (434) 799-2100

200 Hospital Dr
Galax, VA 24333
Phone (276) 236-6011

1535 Slate Creek Rd
Grundy, VA 24614
Phone (276) 935-1125

245 Medical Park Dr
Marion, VA 24354
Phone (276) 378-1000

100 15th St NW
Norton, VA 24273
Phone (276) 439-1000

Organizations & group practices 19

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360886400000",
    "number": "1225081268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 RUTAN CT",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178497",
            "telephone_number": "704-660-6117",
            "fax_number": "704-660-3275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1638 OWEN DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043424",
            "telephone_number": "910-615-8780",
            "fax_number": "910-321-6250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURN",
        "first_name": "ALVIN",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2013-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "200201289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "930123900",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89-132UY",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "132UY",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N01280",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.