Organization Active NPI

Pender Urgent Care PLLC

  • Legal Medicine
  • Burgaw, NC
National Provider Identifier
1346270295
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
Legal business name
PENDER URGENT CARE PLLC
Practice address
232 Old Savannah Rd
Burgaw, NC 28425-3944
Phone
(910) 259-2161
Fax
(910) 259-7870
NPI assigned
Jul 4, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Beth Marie Bryant
Title
Member
Phone
(910) 259-2161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X NU Primary

Addresses

Primary practice location

232 Old Savannah Rd
Burgaw, NC 28425-3944

Mailing address

4637 Norwich Rd
Wilmington, NC 28405-1351
Phone (910) 409-1238

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346270295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4637 NORWICH RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284051351",
            "telephone_number": "910-409-1238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 OLD SAVANNAH RD",
            "city": "BURGAW",
            "state": "NC",
            "postal_code": "284253944",
            "telephone_number": "910-259-2161",
            "fax_number": "910-259-7870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENDER URGENT CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "910-259-2161"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burgaw, 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.

Verify at the official NPI Registry.