Bobby Flay England, MD

Individual provider Active NPI Family Medicine Physician · Ellenboro, NC

NPI 1538457114 · NPPES record last updated Jul 15, 2011

Key facts

NPI
1538457114
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
13978 (NC)
Practice address
140 England Dr
Ellenboro, NC 28040-7644
Phone
(828) 453-8807
Fax
(828) 453-8807
NPI assigned
Jul 15, 2011
Sex
Male
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
13978NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rutherford Hospital Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 13978 NC Yes

Addresses

Primary practice location

140 England Dr
Ellenboro, NC 28040-7644

Mailing address

140 England Dr
Ellenboro, NC 28040-7644
Phone (828) 453-8807

Other providers in Ellenboro, NC

All providers in Ellenboro, NC · Family Medicine Physician in North Carolina

Sources for this page

Verify at the official NPI Registry.