Hooper & Burnett Internal Medicine LTD

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

39649 Issued in NC

Legal business name

HOOPER & BURNETT INTERNAL MEDICINE LTD

Practice address

2130 B Forest Hills Rd W
Wilson, NC 27893-3681

Phone

(252) 237-2700

Fax

(252) 237-5034

NPI assigned

Mar 28, 2006

Organization subpart

No

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

Authorized official

Name

Colin Gordon Kurtz

Title

Authorized Official

Phone

(252) 955-0916

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24842/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666224000000",
    "number": "1386605608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 FOREST HILLS RD W STE B",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278933681",
            "telephone_number": "252-237-2700",
            "fax_number": "252-237-5034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 B FOREST HILLS RD W",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278933681",
            "telephone_number": "252-237-2700",
            "fax_number": "252-237-5034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOOPER & BURNETT INTERNAL MEDICINE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-28",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A",
        "authorized_official_last_name": "KURTZ",
        "authorized_official_first_name": "COLIN",
        "authorized_official_middle_name": "GORDON",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "252-955-0916"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NC",
            "license": "39649",
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890159E",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Multi-Specialty Clinic/Center in Wilson, NC
• Providers in Wilson, NC by specialty
• Multi-Specialty Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; 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.