Active NPI
Bmi Nephrology Systems, Inc.
- Nephrology Physician
- High Point, NC
National Provider Identifier
1275774432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 9401418
- Legal business name
- BMI NEPHROLOGY SYSTEMS, INC.
- Practice address
- 635 N Main St
High Point, NC 27260-5017 - Phone
- (336) 887-0038
- Fax
- (336) 885-8096
- NPI assigned
- Mar 18, 2009
- Last updated
- Mar 18, 2009
- 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
- Dr. Benjamin M. Igwemezie, M.D.
- Title
- Owner/Physician
- Phone
- (336) 887-0038
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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 9401418 | NC | Primary |
Addresses
Primary practice location
635 N Main St
High Point, NC 27260-5017
Mailing address
635 N Main St
High Point, NC 27260-5017
Phone (336) 887-0038
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8945208 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
635 N Main St
High Point, NC 27260
Phone (336) 803-9036
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nephrology Physician
- High Point, NC
- NPI 1518921188
-
- Primary Care Nurse Practitioner
- High Point, NC
- NPI 1073083085
Single Specialty
-
- Physician Assistant
- High Point, NC
- NPI 1205354966
-
- Clinical Social Worker
- Winston Salem, NC
- NPI 1881950897
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237334400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1237334400000",
"number": "1275774432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "635 N MAIN ST",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272605017",
"telephone_number": "336-887-0038",
"fax_number": "336-885-8096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "635 N MAIN ST",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272605017",
"telephone_number": "336-887-0038",
"fax_number": "336-885-8096"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BMI NEPHROLOGY SYSTEMS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-18",
"last_updated": "2009-03-18",
"status": "A",
"authorized_official_last_name": "IGWEMEZIE",
"authorized_official_first_name": "BENJAMIN",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "336-887-0038",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": "NC",
"license": "9401418",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8945208",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in High Point, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2009; 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.