Active NPI
Stephen W Stroud
- Oral & Maxillofacial Surgery (D.M.D.)
- Greensboro, NC
National Provider Identifier
1457424574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- License
- 4540
- Practice address
- 301 East Wendover Ave Suite 111
Piedmont Oral Maxillofacial Fac Ctr
Greensboro, NC 27401 - Phone
- (336) 273-1000
- Fax
- (336) 275-9919
- NPI assigned
- Nov 16, 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 |
|---|---|---|---|---|
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 4540 | NC | Primary |
Addresses
Primary practice location
301 East Wendover Ave Suite 111
Piedmont Oral Maxillofacial Fac Ctr
Greensboro, NC 27401
Mailing address
301 East Wendover Ave Suite 111
Piedmont Oral Maxillofacial Fac Ctr
Greensboro, NC 27401
Phone (336) 273-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8998158 | Medicaid | NC |
Medicare participation
Medicare enrollment files- 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: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4540 | NC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Carolina University | Current | Accepting new patients | |
| East Carolina University | Current | Accepting new patients | |
| East Carolina University | Current | Accepting new patients | |
| Shenan Bradshaw DDS MD PA | Oral & Maxillofacial Surgery | Past | Accepting new patients |
Locations
1851 Macgregor Downs Rd
Greenville, NC 27834
Phone (252) 737-7000
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Greenville, NC
- NPI 1972551919
-
- Internal Medicine Physician
- Greenville, NC
- NPI 1043260474
-
- Dentist
- Greenville, NC
- NPI 1669750014
-
- Oral & Maxillofacial Surgery (D.M.D.)
- Greensboro, NC
- NPI 1114710472
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457424574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 EAST WENDOVER AVE SUITE 111",
"address_2": "PIEDMONT ORAL MAXILLOFACIAL FAC CTR",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "27401",
"telephone_number": "336-273-1000",
"fax_number": "336-275-9919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 EAST WENDOVER AVE SUITE 111",
"address_2": "PIEDMONT ORAL MAXILLOFACIAL FAC CTR",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "27401",
"telephone_number": "336-273-1000",
"fax_number": "336-275-9919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STROUD",
"first_name": "STEPHEN",
"middle_name": "W",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "NC",
"license": "4540",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8998158",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.