Organization Active NPI

Biltmore Medical

  • Neurology Physician
  • Indian Trail, NC
National Provider Identifier
1578803177
Registry record updated Feb 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
34123 Issued in NC
Legal business name
BILTMORE MEDICAL
Practice address
598 Indian Trail Rd S
Suite 250
Indian Trail, NC 28079-8689
Phone
(704) 719-9722
Fax
(704) 719-9732
NPI assigned
Feb 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2013

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

Authorized official

Name
Tammy Carpenter
Title
Office Manager
Phone
(704) 719-9722

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084N0400X 34123 NC Primary
Diagnostic Radiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085R0202X 200001111 NC

Addresses

Primary practice location

598 Indian Trail Rd S
Suite 250
Indian Trail, NC 28079-8689

Mailing address

598 Indian Trail Rd S
Suite 250
Indian Trail, NC 28079-8689
Phone (704) 719-9722

National Provider Directory

National Provider Directory

Locations

598 Indian Trail Rd S
Indian Trail, NC 28079
Phone (704) 975-7008

NPI Registry JSON

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

{
    "created_epoch": "1361318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361318400000",
    "number": "1578803177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "598 INDIAN TRAIL RD S",
            "address_2": "SUITE 250",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280798689",
            "telephone_number": "704-719-9722",
            "fax_number": "704-719-9732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "598 INDIAN TRAIL RD S",
            "address_2": "SUITE 250",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280798689",
            "telephone_number": "704-719-9722",
            "fax_number": "704-719-9732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BILTMORE MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-20",
        "last_updated": "2013-02-20",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "704-719-9722"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "34123",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "200001111",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indian Trail, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.