Active NPI
Burgaw Medical Center, P.C.
- Family Medicine Physician
- Hampstead, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- BURGAW MEDICAL CENTER, P.C.
- Practice address
- 25 N Hampstead Village Dr
Hampstead, NC 28443-3932 - Phone
- (910) 803-0340
- Fax
- (910) 803-0342
- NPI assigned
- May 14, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mostafa Mohamed Rezk, DO
- Title
- Owner
- Phone
- (910) 803-0340
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Internal Medicine Physician | 207R00000X |
Addresses
Primary practice location
25 N Hampstead Village Dr
Hampstead, NC 28443-3932
Mailing address
25 N Hampstead Village Dr
Hampstead, NC 28443-3932
Phone (910) 803-0340
Other practice location 1
306 S Campbell St
Burgaw, NC 28425-5010
Phone (910) 259-3377
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5913552 | Medicaid | NC | |
| 5917334 | Medicaid | NC |
Other names 1
- Hampstead Family Medicine
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D0245916 | Burgaw Medical Center | Certificate of waiver | Aug 25, 2027 |
National Provider Directory
National Provider DirectoryLocations
25 N Hampstead Village Dr
Hampstead, NC 28443
Phone (910) 270-6026
144 Merchants Cir
Ste 100
Hampstead, NC 28443
Phone (910) 803-0340
144 Merchants Cir
Hampstead, NC 28443
Phone (910) 803-0340
Practitioners & affiliated clinicians
Practitioners 22
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Hampstead, NC
- NPI 1316238173
-
- Family Nurse Practitioner
- Hampstead, NC
- NPI 1932434834
-
- Physical Therapist
- Hampstead, NC
- NPI 1710260286
-
- Physical Therapist
- Wilmington, NC
- NPI 1528345899
-
- Physical Therapist
- Oro Valley, AZ
- NPI 1396855144
-
- Physical Therapist
- Jacksonville, NC
- NPI 1972285005
-
- Physical Therapist
- Jacksonville, NC
- NPI 1972085272
-
- Physical Therapist
- Camp Lejeune, NC
- NPI 1003145855
-
- Physical Therapist
- Hampstead, NC
- NPI 1225527047
-
- Family Medicine Physician
- Southport, NC
- NPI 1437351806
-
- Physical Therapist
- Hampstead, NC
- NPI 1437691813
-
- Physical Therapist
- Jacksonville, NC
- NPI 1073069795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273795200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740355200000",
"number": "1700104775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 N HAMPSTEAD VILLAGE DR",
"city": "HAMPSTEAD",
"state": "NC",
"postal_code": "284433932",
"telephone_number": "910-803-0340",
"fax_number": "910-803-0342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 N HAMPSTEAD VILLAGE DR",
"city": "HAMPSTEAD",
"state": "NC",
"postal_code": "284433932",
"telephone_number": "910-803-0340",
"fax_number": "910-803-0342"
}
],
"practiceLocations": [
{
"address_1": "306 S Campbell St",
"address_purpose": "LOCATION",
"city": "Burgaw",
"state": "NC",
"postal_code": "284255010",
"country_code": "US",
"telephone_number": "910-259-3377",
"fax_number": "910-259-3013",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "BURGAW MEDICAL CENTER, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-14",
"last_updated": "2025-02-24",
"certification_date": "2025-02-24",
"status": "A",
"authorized_official_last_name": "REZK",
"authorized_official_first_name": "MOSTAFA",
"authorized_official_middle_name": "MOHAMED",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "910-803-0340",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5913552",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5917334",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Hampstead Family Medicine",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Hampstead Family Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hampstead, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.