Leonard Paul Verges, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

35065 Issued in NC

Practice address

15 Brettwood Trce
Clyde, NC 28721-8021

Phone

(828) 452-9700

Fax

(828) 452-3701

NPI assigned

Jan 3, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Blue Mountain Urology, PLLC

  • Urology Physician
  • Clyde, NC
  • NPI 1134149990
  NPD (past)

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699753509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 BRETTWOOD TRCE",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287218021",
            "telephone_number": "828-452-9700",
            "fax_number": "828-452-3701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 BRETTWOOD TRCE",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287218021",
            "telephone_number": "828-452-9700",
            "fax_number": "828-452-3701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERGES",
        "first_name": "LEONARD",
        "middle_name": "PAUL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NC",
            "license": "35065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7984987",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol Glenn Trent Jr., M.D.
• Tracey Howard Truesdale, PHARMD
• Jenny Leigh Van Winkle, M.D.
• Joseph David Varner, DO
• Tyler Bagley Vereen, M.D.
• Courtney Atkins Villasuso, PA-C
• Julia Dianne Visosky-Connor, PHYSICAL THERAPIST
• Stephen Jay Wall, M.D.
• Morrill Harrington Weaver, M.D.
• Sarah Webb-Wood, M.D.

• Urology Physician in Clyde, NC
• Providers in Clyde, NC by specialty
• Urology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.