Organization Active NPI

Occumed Walk in & Urgent Care, PLLC

  • Internal Medicine Physician
  • Greensboro, NC
National Provider Identifier
1619246717
Registry record updated Dec 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
OCCUMED WALK IN & URGENT CARE, PLLC
Practice address
530 N. Elam Avenue
Suite C
Greensboro, NC 27403
Phone
(336) 574-0707
NPI assigned
Dec 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2011

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

Authorized official

Name
Mr. Alan Abraham Rosenbloom, M.D.
Title
Medical Director/Owner
Phone
(336) 574-0707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X NC Primary

Addresses

Primary practice location

530 N. Elam Avenue
Suite C
Greensboro, NC 27403

Mailing address

530 N. Elam Avenue
Suite C
Greensboro, NC 27403
Phone (336) 574-0707

Other identifiers 1

IdentifierTypeStateIssuer
891193AMedicaidNC

National Provider Directory

National Provider Directory

Locations

530 N Elam Ave
Ste C
Greensboro, NC 27403
Phone (276) 340-2360

NPI Registry JSON

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

{
    "created_epoch": "1324252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324252800000",
    "number": "1619246717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 N. ELAM AVENUE",
            "address_2": "SUITE C",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27403",
            "telephone_number": "336-574-0707",
            "fax_number": "336-574-0039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 N. ELAM AVENUE",
            "address_2": "SUITE C",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27403",
            "telephone_number": "336-574-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCCUMED WALK IN & URGENT CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-19",
        "last_updated": "2011-12-19",
        "status": "A",
        "authorized_official_last_name": "ROSENBLOOM",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "ABRAHAM",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "336-574-0707",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891193A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; 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.