Ppadbvl LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PPADBVL LLC

Practice address

730 E Main St
Burnsville, NC 28714-3102

Phone

(828) 678-1121

Fax

(828) 678-3945

NPI assigned

Jan 20, 2022

Organization subpart

No

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

Authorized official

Name

Andrew Dale Stoker, OWNER

Title

Owner/Authorized Official

Phone

(828) 575-6421

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1508518689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 E MAIN ST",
            "city": "BURNSVILLE",
            "state": "NC",
            "postal_code": "287143102",
            "telephone_number": "828-678-1121",
            "fax_number": "828-678-3945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 E MAIN ST",
            "city": "BURNSVILLE",
            "state": "NC",
            "postal_code": "287143102",
            "telephone_number": "828-678-1121",
            "fax_number": "828-678-3945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PPADBVL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-20",
        "last_updated": "2023-09-06",
        "certification_date": "2022-01-20",
        "status": "A",
        "authorized_official_last_name": "STOKER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "828-575-6421",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Peterson, FNP
• Elizabeth Morris Peverall, M.D.
• Jeanne Louise Pierce, LAC
• Jeffrey Robert Polgar, M.D.
• Jonathan Richard Polgar, PA-C
• Michelle Lee Presnell, LCSWA
• Pruitthealth Home First, Inc.
• Pruitthealth Home Health, Inc.
• PT Solutions of North Carolina LLC
• Matthew Deven Raines, PHARM-D

• All providers in Burnsville, NC
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.