Active NPI
Deogracia Quinones, MD
- Specialist
- Fort Bragg, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 35729
- Practice address
- Womack Army Medical Ctr
Stop a, 2817 Reilly Road
Fort Bragg, NC 28310-0001 - Phone
- (910) 907-8664
- Fax
- (910) 907-7762
- NPI assigned
- Aug 9, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 35729 | NC | Primary |
| Urology Physician | 208800000X | 35729 | NC |
Addresses
Primary practice location
Womack Army Medical Ctr
Stop a, 2817 Reilly Road
Fort Bragg, NC 28310-0001
Mailing address
Womack Army Medical Ctr
Stop a, 2817 Reilly Road
Fort Bragg, NC 28310-0001
Phone (910) 907-8664
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89131WR | 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
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
815 Oakridge Blvd
Lumberton, NC 28358-2330
Phone (910) 738-7166
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35729 | NC | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unc Physicians Network LLC | Urology | Current | Accepting new patients |
| Unc Physicians Network LLC | Current | Accepting new patients |
Locations
940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123
815 Oakridge Blvd
Lumberton, NC 28358
Phone (910) 738-7166
5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110
Interoperability endpoints
- dquinones222474@direct.unc.nchie.net
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Pittsboro, NC
- NPI 1750704367
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lumberton, NC
- NPI 1427030774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278633600000",
"number": "1629079926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "WOMACK ARMY MEDICAL CTR",
"address_2": "STOP A, 2817 REILLY ROAD",
"city": "FORT BRAGG",
"state": "NC",
"postal_code": "283100001",
"telephone_number": "910-907-8664",
"fax_number": "910-907-7762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WOMACK ARMY MEDICAL CTR",
"address_2": "STOP A, 2817 REILLY ROAD",
"city": "FORT BRAGG",
"state": "NC",
"postal_code": "283100001",
"telephone_number": "910-907-8664",
"fax_number": "910-907-7762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINONES",
"first_name": "DEOGRACIA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-09",
"last_updated": "2010-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NC",
"license": "35729",
"primary": true
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NC",
"license": "35729",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89131WR",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Bragg, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2010; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.