Organization Active NPI

Neighborhood Clinic Family & Urgent Care PLLC

  • Family Medicine Physician
  • Spring Lake, NC
National Provider Identifier
1295133262
Registry record updated Jan 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NEIGHBORHOOD CLINIC FAMILY & URGENT CARE PLLC
Practice address
1095 N Bragg Blvd
Ste 104
Spring Lake, NC 28390-3307
Phone
(910) 568-5793
NPI assigned
Dec 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2015

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

Authorized official

Name
Divyang R Patel, M.D.
Title
Sole MBR
Phone
(910) 568-5793

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

1095 N Bragg Blvd
Ste 104
Spring Lake, NC 28390-3307

Mailing address

1095 N Bragg Blvd
Ste 104
Spring Lake, NC 28390-3307

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1417996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421193600000",
    "number": "1295133262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1095 N BRAGG BLVD",
            "address_2": "STE 104",
            "city": "SPRING LAKE",
            "state": "NC",
            "postal_code": "283903307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 N BRAGG BLVD",
            "address_2": "STE 104",
            "city": "SPRING LAKE",
            "state": "NC",
            "postal_code": "283903307",
            "telephone_number": "910-568-5793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIGHBORHOOD CLINIC FAMILY & URGENT CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-08",
        "last_updated": "2015-01-14",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "DIVYANG",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "910-568-5793",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Lake, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; 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.