Organization Active NPI

Burlington Urological Associates of Mebane

  • Medical Specialty Clinic/Center
  • Mebane, NC
National Provider Identifier
1225253115
Registry record updated Oct 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
BURLINGTON UROLOGICAL ASSOCIATES OF MEBANE
Practice address
102 Medical Park Dr
Suite C
Mebane, NC 27302-7632
Phone
(919) 563-6132
NPI assigned
Apr 16, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Betty Hall
Title
Office Manager
Phone
(336) 227-2761

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

NPPES NPI Registry

Primary practice location

102 Medical Park Dr
Suite C
Mebane, NC 27302-7632

Mailing address

102 Medical Park Dr
Suite C
Mebane, NC 27302-7632
Phone (919) 563-6132

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
89230130MedicaidNC
230130OtherNCMEDICARE GROUP #

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 5, 2007.

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191542400000",
    "number": "1225253115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 MEDICAL PARK DR",
            "address_2": "SUITE C",
            "city": "MEBANE",
            "state": "NC",
            "postal_code": "273027632",
            "telephone_number": "919-563-6132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 MEDICAL PARK DR",
            "address_2": "SUITE C",
            "city": "MEBANE",
            "state": "NC",
            "postal_code": "273027632",
            "telephone_number": "919-563-6132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURLINGTON UROLOGICAL ASSOCIATES OF MEBANE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-10-05",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "BETTY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "336-227-2761"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89230130",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "230130",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mebane, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; 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.