Organization Active NPI

Boone Urology Center, P.a.

  • Urology Physician
  • Boone, NC
National Provider Identifier
1659470169
Registry record updated Jul 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
BOONE UROLOGY CENTER, P.A.
Practice address
935 State Farm Rd
Boone, NC 28607-4948
Phone
(828) 264-5150
Fax
(828) 265-3611
NPI assigned
Sep 21, 2006
Last updated
Jul 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2008

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

Authorized official

Name
Dr. Gary Pitts, M.D.
Title
President
Phone
(828) 264-5150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

935 State Farm Rd
Boone, NC 28607-4948

Mailing address

935 State Farm Rd
Boone, NC 28607-4948
Phone (828) 264-5150

Other identifiers 1

IdentifierTypeStateIssuer
0102POtherNCBLUE CROSS GROUP #

National Provider Directory

National Provider Directory

Locations

166 Furman Rd
Boone, NC 28607
Phone (704) 264-5150

Practitioners & affiliated clinicians

Practitioners 2

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": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1659470169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 STATE FARM RD",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286074948",
            "telephone_number": "828-264-5150",
            "fax_number": "828-265-3611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 STATE FARM RD",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286074948",
            "telephone_number": "828-264-5150",
            "fax_number": "828-265-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOONE UROLOGY CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "PITTS",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-264-5150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GROUP #",
            "identifier": "0102P",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; 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.