Individual provider Active NPI

Robert L Rich Jr., MD

  • Family Medicine Physician
  • Elizabethtown, NC
National Provider Identifier
1225127459
Registry record updated Sep 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
29651 Issued in NC
Practice address
300A East McKay Street
Elizabethtown, NC 28337
Phone
(910) 862-5500
Fax
(910) 862-2107
NPI assigned
Oct 12, 2006
Last updated
Sep 12, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 29651 NC Primary

Addresses

Primary practice location

300A East McKay Street
Elizabethtown, NC 28337

Mailing address

PO Box 517
Elizabethtown, NC 28337-0517
Phone (910) 862-5500

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
I20040616001370 NC Practitioner - Family Practice 3173507175 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wake Forest University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bladen Healthcare LLCGroup PAC ID 6800967969, 41 clinicians

Practice addresses (Care Compare)

300 A E McKay St
Elizabethtown, NC 28337-9037
Phone (910) 862-6672

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29651NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bladen Healthcare LLC Current Accepting new patients
Bladen Healthcare, LLC CurrentSince Oct 19, 2009 Accepting new patients
Bladen Healthcare LLC CurrentSince Oct 19, 2009 Accepting new patients
Bladen Medical Associates Family Medicine Past Accepting new patients
Bladen Healthcare, LLC Past Accepting new patients

Locations

300 E McKay St
#F
Elizabethtown, NC 28337
Phone (910) 862-6672

300A E McKay St
Elizabethtown, NC 28337
Phone (910) 862-5500

501 S Poplar St
Elizabethtown, NC 28337
Phone (910) 862-4043

Interoperability endpoints

  • Direct secure messaging: rrich10220@capefearvalley.direct-ci.com

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410480000000",
    "number": "1225127459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 517",
            "city": "ELIZABETHTOWN",
            "state": "NC",
            "postal_code": "283370517",
            "telephone_number": "910-862-5500",
            "fax_number": "910-862-2107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300A EAST MCKAY STREET",
            "city": "ELIZABETHTOWN",
            "state": "NC",
            "postal_code": "28337",
            "telephone_number": "910-862-5500",
            "fax_number": "910-862-2107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICH",
        "first_name": "ROBERT",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2014-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "29651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, NC

Sources for this page

Verify at the official NPI Registry.