Active NPI
Benjamin Nnadozie Anyanwu, MD
- Neurology Physician
- High Point, NC
National Provider Identifier
1679755151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 2008-00906
- Practice address
- 606 N Elm St
High Point, NC 27262-4332 - Phone
- (336) 716-2255
- NPI assigned
- Nov 27, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Neurology Physician | 2084V0102X | MT191855 | PA | |
| Vascular Neurology Physician | 2084V0102X | 2008-00906 | NC | |
| Neurology Physician | 2084N0400X | 2008-00906 | NC | Primary |
Addresses
Primary practice location
606 N Elm St
High Point, NC 27262-4332
Mailing address
PO Box 751803
Charlotte, NC 28275-1803
Phone (336) 277-2200
Other practice location 1
2025 Frontis Plaza Blvd Ste 120
Forsyth Comprehensive Neurology
Winston Salem, NC 27103-5663
Phone (336) 277-2200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5910260 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2008-00906 | NC | MD | Vascular Neurology Physician |
| MT191855 | PA | MD | Vascular Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552608000000",
"number": "1679755151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751803",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282751803",
"telephone_number": "336-277-2200",
"fax_number": "336-277-2210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "606 N ELM ST",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272624332",
"telephone_number": "336-716-2255"
}
],
"practiceLocations": [
{
"address_1": "2025 Frontis Plaza Blvd Ste 120",
"address_2": "Forsyth Comprehensive Neurology",
"address_purpose": "LOCATION",
"city": "Winston Salem",
"state": "NC",
"postal_code": "271035663",
"country_code": "US",
"telephone_number": "336-277-2200",
"fax_number": "336-277-2210",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANYANWU",
"first_name": "BENJAMIN",
"middle_name": "NNADOZIE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-27",
"last_updated": "2019-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "2084V0102X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Vascular Neurology",
"state": "PA",
"license": "MT191855",
"primary": false
},
{
"code": "2084V0102X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Vascular Neurology",
"state": "NC",
"license": "2008-00906",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NC",
"license": "2008-00906",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5910260",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in High Point, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.