Prostate Cancer Institute of North Carolina PC

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

PROSTATE CANCER INSTITUTE OF NORTH CAROLINA PC

Practice address

5 First Village Dr
Pinehurst, NC 28374-9495

Phone

(910) 498-9246

Fax

(910) 498-9247

NPI assigned

Dec 30, 2024

Organization subpart

No

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

Authorized official

Name

Ajay Bhatnagar, MDNPI 1417161704

Title

Owner

Phone

(910) 498-9246

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ, NC2 enrollments

Enrollment records 2

Practitioners 2

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

• Ajay Bhatnagar, MD

  • Radiation Oncology Physician
  • Hershey, PA
  • NPI 1417161704

  AZ, NC

  Medicare reassignment NPD Authorized official
• Manuj Agarwal, MD

  • Radiation Oncology Physician
  • Philadelphia, PA
  • NPI 1316262363

  NC

  Medicare reassignment NPD

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

{
    "created_epoch": "1735516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735516800000",
    "number": "1275341760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15088",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850605088",
            "telephone_number": "910-498-9246",
            "fax_number": "910-498-9247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 FIRST VILLAGE DR",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283749495",
            "telephone_number": "910-498-9246",
            "fax_number": "910-498-9247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSTATE CANCER INSTITUTE OF NORTH CAROLINA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-30",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A",
        "authorized_official_last_name": "BHATNAGAR",
        "authorized_official_first_name": "AJAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-498-9246",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sha'Ron R Pridgen
• Timothy Aaron Priest, M.A.ED., LCMHCA, NCC
• Gus D Prince, MD
• Michael A Pritchett, D.O.
• Promise Counseling PLLC
• PSC Commercial Bundle, LLC
• Ellen Anne Puleo, MD
• Leila Pursell, COTA/L
• Leanne Coker Purvis, MS/OTR/L
• Christy Lee Pusser, OTR/L

• Radiation Oncology Physician in Pinehurst, NC
• Providers in Pinehurst, NC by specialty
• Radiation Oncology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.