Rueben N Rivers, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

26147 Issued in NC

Practice address

1314 Medical Dr
Suite 102
Fayetteville, NC 28304-4442

Phone

(910) 323-2503

Fax

(910) 323-4260

NPI assigned

Feb 23, 2006

Last updated

Dec 18, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Bladen Healthcare LLC

  dba CFV Primary Care-Vineland Family Medicine

  • Rural Health Clinic/Center
  • Whiteville, NC
  • NPI 1821764390
  NPD (past)

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197936000000",
    "number": "1376519140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15133",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277040133",
            "telephone_number": "919-477-5152",
            "fax_number": "919-477-5474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 MEDICAL DR",
            "address_2": "SUITE 102",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044442",
            "telephone_number": "910-323-2503",
            "fax_number": "910-323-4260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERS",
        "first_name": "RUEBEN",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2007-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "26147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7971895",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "71895",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Rivera
• Gladys Maria Rivero, PHYSICIAN ASSISTANT
• Rivers of Peace Counseling Services, PLLC
• Kathleen Rivers, NP
• Kenneth Rivers
• Michael Robert Rizzone, DDS
• RJ Property Maintenance LLC
• RJ Shepherd Inc (Better Home Health Day Program)
• RJ Shepherd Inc (Better Home Health Care)
• RJ Shepherd Inc (Better Home Health Care)

• Internal Medicine Physician in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; 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.