Active NPI
Nicanor B. Concepcion, MD
- Urology Physician
- Norton, VA
National Provider Identifier
1508892035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 0101037635
- Practice address
- 624 Park Avenue NW
Norton, VA 24273 - Phone
- (276) 679-6145
- NPI assigned
- Jun 25, 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | 0101037635 | VA | Primary |
Addresses
Primary practice location
624 Park Avenue NW
Norton, VA 24273
Mailing address
PO Box 1171
Norton, VA 24273
Phone (276) 679-6145
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101037635 | VA | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508892035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1171",
"city": "NORTON",
"state": "VA",
"postal_code": "24273",
"telephone_number": "276-679-6145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "624 PARK AVENUE NW",
"city": "NORTON",
"state": "VA",
"postal_code": "24273",
"telephone_number": "276-679-6145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONCEPCION",
"first_name": "NICANOR",
"middle_name": "B.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "VA",
"license": "0101037635",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norton, VA
- Community Physicians Services Corporation
- Community Physicians Services Corporation
- Community Physicians Services Corporation
- Community Physicians Services Corporation
- Community Physicians Services Corporation
- Nicholas A. Cook, M.D.
- Amy Nicole Cooke, LCSW
- Cooley Medical Equipment, Inc.
- Elizabeth Cooperstein, M.D.
- Jill Kristen Couch, DO
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.