Active NPI
Vincent L Keipper, MD
- Internal Medicine Physician
- Concord, NC
National Provider Identifier
1376514133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 21669
- Practice address
- 319 Penny LN
Suite B
Concord, NC 28025-1221 - Phone
- (704) 403-7780
- Fax
- (704) 403-7781
- NPI assigned
- Jan 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 21669 | NC | Primary |
Addresses
Primary practice location
319 Penny LN
Suite B
Concord, NC 28025-1221
Mailing address
319 Penny LN
Suite B
Concord, NC 28025-1221
Phone (704) 403-7780
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4324689 | Other | NC | AETNA ID |
| 8118655 | Other | NC | MAMSI ID |
| 110223581 | Other | NC | RAILROAD MEDICARE |
| 111009 | Other | NC | WELLPATH |
| 0440082 | Other | NC | UNITED HEALTHCARE |
| 8948035 | Medicaid | NC | |
| 48035 | Other | NC | BCBS ID |
| 6042 | Other | NC | PARTNERS MEDICARE CHOICE |
| 232009 | Other | NC | MEDICARE OTHER |
| 26274 | Other | NC | MEDCOST ID |
| 566000156 | Other | NC | PRACTICE TAX ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21669 | NC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concord Women's Specialty Care, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Concord Women's Specialty Care
- Obstetrics & Gynecology Physician
- Concord, NC
- NPI 1144486333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364515200000",
"number": "1376514133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "319 PENNY LN",
"address_2": "SUITE B",
"city": "CONCORD",
"state": "NC",
"postal_code": "280251221",
"telephone_number": "704-403-7780",
"fax_number": "704-403-7781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "319 PENNY LN",
"address_2": "SUITE B",
"city": "CONCORD",
"state": "NC",
"postal_code": "280251221",
"telephone_number": "704-403-7780",
"fax_number": "704-403-7781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEIPPER",
"first_name": "VINCENT",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-30",
"last_updated": "2013-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "21669",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA ID",
"identifier": "4324689",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI ID",
"identifier": "8118655",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110223581",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLPATH",
"identifier": "111009",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "0440082",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8948035",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS ID",
"identifier": "48035",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARTNERS MEDICARE CHOICE",
"identifier": "6042",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE OTHER",
"identifier": "232009",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST ID",
"identifier": "26274",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRACTICE TAX ID",
"identifier": "566000156",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.