Active NPI
Masonboro Medical Group, PC
- Internal Medicine Physician
- Wilmington, NC
National Provider Identifier
1255534533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- MASONBORO MEDICAL GROUP, PC
- Practice address
- 8114 Market St
Suite 200
Wilmington, NC 28411-9386 - Phone
- (910) 681-1690
- NPI assigned
- Jun 6, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas J Beckett, MD
- Title
- President
- Phone
- (910) 681-1690
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
8114 Market St
Suite 200
Wilmington, NC 28411-9386
Mailing address
8114 Market St
Suite 200
Wilmington, NC 28411-9386
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Brentwood, TN
- NPI 1699781112
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181088000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1255534533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8114 MARKET ST",
"address_2": "SUITE 200",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284119386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8114 MARKET ST",
"address_2": "SUITE 200",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284119386",
"telephone_number": "910-681-1690"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MASONBORO MEDICAL GROUP, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-06",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BECKETT",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "910-681-1690",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.