NPIMap

Organization Active NPI

Western Rockingham Family Medicine PA

  • Family Medicine Physician
  • Madison, NC
National Provider Identifier
1548220882
Registry record updated Jan 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WESTERN ROCKINGHAM FAMILY MEDICINE PA
Practice address
401 W Decatur St
Madison, NC 27025-1913
Phone
(336) 548-9618
Fax
(336) 548-4877
NPI assigned
Mar 23, 2006
Last updated
Jan 11, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
WESTERN ROCKINGHAM FAMILY MEDICINE PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 11, 2013

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

Authorized official

Name
Dr. Donald Wilson Moore, MDNPI 1831170919
Title
Owner
Phone
(336) 548-9618

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary
Gynecology Physician 207VG0400X 17591 NC
Orthopaedic Surgery Physician 207X00000X NU

Addresses

Primary practice location

401 W Decatur St
Madison, NC 27025-1913

Mailing address

401 W Decatur St
Madison, NC 27025-1913
Phone (336) 548-9618

Other names 1

  • Brown Summit Family Medicine Other name

National Provider Directory

National Provider Directory
Part of
Western Rockingham Fam

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357862400000",
    "number": "1548220882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W DECATUR ST",
            "city": "MADISON",
            "state": "NC",
            "postal_code": "270251913",
            "telephone_number": "336-548-9618",
            "fax_number": "336-548-4877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W DECATUR ST",
            "city": "MADISON",
            "state": "NC",
            "postal_code": "270251913",
            "telephone_number": "336-548-9618",
            "fax_number": "336-548-4877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN ROCKINGHAM FAMILY MEDICINE PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESTERN ROCKINGHAM FAMILY MEDICINE PA",
        "enumeration_date": "2006-03-23",
        "last_updated": "2013-01-11",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "WILSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-548-9618",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NC",
            "license": "17591",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brown Summit Family Medicine",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Madison, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2013; 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.