Roy Bruce Middleton, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

23618 Issued in NC

Practice address

708 S South St
Ste 100
Mt Airy, NC 27030-4426

Phone

(336) 789-9176

Fax

(336) 789-9178

NPI assigned

Jun 17, 2005

Last updated

Jan 10, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199923200000",
    "number": "1245235928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1267",
            "city": "MT AIRY",
            "state": "NC",
            "postal_code": "270301267",
            "telephone_number": "336-786-7669",
            "fax_number": "336-719-2492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 S SOUTH ST",
            "address_2": "STE 100",
            "city": "MT AIRY",
            "state": "NC",
            "postal_code": "270304426",
            "telephone_number": "336-789-9176",
            "fax_number": "336-789-9178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDDLETON",
        "first_name": "ROY",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2008-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "23618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Luis Mendoza, M.D.
• Laura Yvette Mercer, DMD
• Michael Merz, MD
• Brett Michel, RPH
• Marian Patricia Michel, DNP
• Diane Jane Milhan, PHD, DPT, DAOM
• Krysten Miller-Young, PTA
• Brandon Keith Mills, M.D.
• Jordan Minor, MD
• Challie A Minton, MD

• Surgery Physician in Mount Airy, NC
• Providers in Mount Airy, NC by specialty
• Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; 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.