Individual provider Active NPI

Douglas Brett Huntley, MD

  • Surgery Physician
  • Hendersonville, NC
National Provider Identifier
1487604302
Registry record updated Oct 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
9500950 Issued in NC
Practice address
1027 Fleming Street
Ste B
Hendersonville, NC 28791-3534
Phone
(828) 693-1436
Fax
(828) 693-1107
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 9500950 NC Primary

Addresses

Primary practice location

1027 Fleming Street
Ste B
Hendersonville, NC 28791-3534

Mailing address

1027 Fleming Street
Ste B
Hendersonville, NC 28791-3534
Phone (828) 693-1436

Other identifiers 9

IdentifierTypeStateIssuer
200571944OtherCIGNA
200571944OtherCRESENT
200571944OtherFIRST HEALTH
200571944OtherHEALTH CARE SAVINGS
200571944OtherUNITED HEALTH CARE
5900653MedicaidNC
200571944OtherTRICARE
200571944OtherMEDCOST
45070OtherBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20130820000122 TX Order and Referring Only - General SurgeryPractitioner - General Surgery 1153314141

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9500950NCMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hendersonville Surgical Associates, PLLC Surgery 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254873600000",
    "number": "1487604302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 FLEMING STREET",
            "address_2": "STE B",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287913534",
            "telephone_number": "828-693-1436",
            "fax_number": "828-693-1107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 FLEMING STREET",
            "address_2": "STE B",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287913534",
            "telephone_number": "828-693-1436",
            "fax_number": "828-693-1107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNTLEY",
        "first_name": "DOUGLAS",
        "middle_name": "BRETT",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2009-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "9500950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "200571944",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRESENT",
            "identifier": "200571944",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "200571944",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH CARE SAVINGS",
            "identifier": "200571944",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "200571944",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5900653",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "200571944",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "200571944",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "45070",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

Verify at the official NPI Registry.