Active NPI
Michael J Trombley, M.D.
- Family Medicine Physician
- Charlotte, NC
National Provider Identifier
1528056314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 94-00162
- Practice address
- 300 Billingsley Rd
Suite 204
Charlotte, NC 28211-1075 - Phone
- (704) 334-6488
- Fax
- (704) 334-6486
- NPI assigned
- Oct 6, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 94-00162 | NC | Primary |
Addresses
Primary practice location
300 Billingsley Rd
Suite 204
Charlotte, NC 28211-1075
Mailing address
300 Billingsley Rd
Suite 204
Charlotte, NC 28211-1075
Phone (704) 334-6488
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8989778 | 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: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 94-00162 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| VLD,PLLC | Current | Accepting new patients | |
| Cabarrus Family Medicine | Past | Accepting new patients | |
| Novant Medical Group, Inc. | Past | Accepting new patients | |
| Cabarrus Family Medicine | Past | Accepting new patients |
Locations
643 Greenway Rd
Ste J1
Boone, NC 28607
Phone (828) 406-2607
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
- https://fhir-myrecord.cerner.com/r4/c32cb33f-ec61-4f25-9140-0b9b174fe4db/
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Boone, NC
- NPI 1225422397
-
- Primary Care Clinic/Center
- Concord, NC
- NPI 1679758759
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Concord, NC
- NPI 1750566832
-
- Pediatric Urology Physician
- Huntersville, NC
- NPI 1881707487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401667200000",
"number": "1528056314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 BILLINGSLEY RD",
"address_2": "SUITE 204",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282111075",
"telephone_number": "704-334-6488",
"fax_number": "704-334-6486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 BILLINGSLEY RD",
"address_2": "SUITE 204",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282111075",
"telephone_number": "704-334-6488",
"fax_number": "704-334-6486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TROMBLEY",
"first_name": "MICHAEL",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-06",
"last_updated": "2014-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "94-00162",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8989778",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; 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.