Active NPI
Burlington Urological Associates of Mebane
- Medical Specialty Clinic/Center
- Mebane, NC
National Provider Identifier
1225253115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- 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.
-
- Urology Physician
- Mebane, NC
- NPI 1235208752
-
- Urology Physician
- Burlington, NC
- NPI 1902975428
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89230130 | Medicaid | NC | |
| 230130 | Other | NC | MEDICARE 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.