Stephen Bruce Zimmer, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

98-00434 Issued in NC

Practice address

294 N Highway 16
Suite a
Denver, NC 28037-8011

Phone

(704) 660-4041

Fax

(704) 489-2900

NPI assigned

Nov 15, 2006

Sex

Male

Sole proprietor

No

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

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22472/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Promed Healthcare, PLLC

  • Family Medicine Physician
  • Charlotte, NC
  • NPI 1770615114
  Medicare reassignment NPD
• Promed Healthcare, PLLC

  • Urgent Care Clinic/Center
  • Charlotte, NC
  • NPI 1750572368
  NPD
• Vip Healthcare, PLLC

  • Internal Medicine Physician
  • Denver, NC
  • NPI 1649786716
  NPD
• 24 7 MD PLLC

  • Internal Medicine Physician
  • Mooresville, NC
  • NPI 1790073278
  NPD (past)
• Inland Sea Inpatient Services

  • Hospitalist Physician
  • Mooresville, NC
  • NPI 1215242557
  NPD (past)
• Trinity Health Care PA

  • Internal Medicine Physician
  • Mooresville, NC
  • NPI 1134184583

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508284800000",
    "number": "1457424046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "294 N HIGHWAY 16",
            "address_2": "SUITE A",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280378011",
            "telephone_number": "704-660-4041",
            "fax_number": "704-489-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "294 N HIGHWAY 16",
            "address_2": "SUITE A",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280378011",
            "telephone_number": "704-660-4041",
            "fax_number": "704-489-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMER",
        "first_name": "STEPHEN",
        "middle_name": "BRUCE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2017-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "98-00434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "080123998",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891140R",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trevor Wilt, DPT/OTR/L
• Bradford A Winans, MD
• Alyssa Wolff, D.D.S.
• Charlotte R Woolstenhulme, PA-C
• Shatoya Lanee Young, LPC, LCMHC

• Family Medicine Physician in Denver, NC
• Providers in Denver, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.