Active NPI
Pathology Associates of Boone PC
- Anatomic Pathology & Clinical Pathology Physician
- Boone, NC
National Provider Identifier
1497718100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 34026
- Legal business name
- PATHOLOGY ASSOCIATES OF BOONE PC
- Practice address
- 336 Deerfield Rd
Boone, NC 28607-5008 - Phone
- (828) 262-4100
- NPI assigned
- Apr 11, 2006
- Last updated
- Apr 4, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Brent Dwaye Hall, M.D.
- Title
- President
- Phone
- (828) 262-4106
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 34026 | NC | Primary |
Addresses
Primary practice location
336 Deerfield Rd
Boone, NC 28607-5008
Mailing address
PO Box 1867
Bluefield, WV 24701-5867
National Provider Directory
National Provider DirectoryLocations
833 State Farm Rd
Boone, NC 28607
Phone (828) 262-5569
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Anatomic Pathology & Clinical Pathology Physician
- Boone, NC
- NPI 1578527883
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1522800000000",
"number": "1497718100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1867",
"city": "BLUEFIELD",
"state": "WV",
"postal_code": "247015867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "336 DEERFIELD RD",
"city": "BOONE",
"state": "NC",
"postal_code": "286075008",
"telephone_number": "828-262-4100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATHOLOGY ASSOCIATES OF BOONE PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-11",
"last_updated": "2018-04-04",
"status": "A",
"authorized_official_last_name": "HALL",
"authorized_official_first_name": "BRENT",
"authorized_official_middle_name": "DWAYE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "828-262-4106",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NC",
"license": "34026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boone, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.