Individual provider Active NPI

Alfred Kendrick

  • Pediatrics Physician
  • Monroe, NC
National Provider Identifier
1710905955
Registry record updated Feb 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2005-01336 Issued in NC
Practice address
1653 Campus Park Dr
Suite a
Monroe, NC 28112-4005
Phone
(704) 283-2000
NPI assigned
Jul 17, 2006
Last updated
Feb 12, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2005-01336 NC Primary

Addresses

Primary practice location

1653 Campus Park Dr
Suite a
Monroe, NC 28112-4005

Mailing address

1653 Campus Park Dr
Monroe, NC 28112-4005

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050926001182 NC Practitioner - Pediatric Medicine 4183699184 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
University Pediatrics Pediatrics CurrentSince Sep 24, 2018 Accepting new patients
Carolinas Medical Center Pediatrics Current Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Carolinas Medical Center Pediatrics CurrentSince Apr 17, 2023 Accepting new patients
Carolinas Physicians Network Inc Pediatrics CurrentSince Sep 24, 2018 Accepting new patients
University Pediatrics Pediatrics CurrentSince Sep 24, 2018 Accepting new patients
Charlotte Pediatric Clinic Pediatrics Current Accepting new patients
Carolinas Medical Center CurrentSince Apr 17, 2023 Accepting new patients
University Primary Care Practices Inc. Past Accepting new patients
Union Urgent Care LLC Past Accepting new patients
Union Urgent Care LLC Past Accepting new patients
Carolinas Physicians Network Inc Past Accepting new patients
University Primary Care Practices Inc Pediatrics Past Accepting new patients

Locations

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

101 E Wt Harris Blvd
Ste 1121
Charlotte, NC 28262
Phone (704) 717-2000

1350 S Kings Dr
Charlotte, NC 28207
Phone (704) 446-1255

13640 Steelecroft Pkwy
Ste 210
Charlotte, NC 28278
Phone (704) 512-6100

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

14214 Ballantyne Lake Rd
Ste 300
Charlotte, NC 28277
Phone (704) 446-5070

705 Griffith St
Ste 100
Davidson, NC 28036
Phone (704) 801-7900

6030 W Highway 74
Indian Trail, NC 28079
Phone (704) 246-2777

332 N Trade St
#1100
Matthews, NC 28105
Phone (704) 512-6850

1653 Campus Park Dr
Ste A
Monroe, NC 28112
Phone (704) 283-2000

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549929600000",
    "number": "1710905955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1653 CAMPUS PARK DR",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281124005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1653 CAMPUS PARK DR",
            "address_2": "SUITE A",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281124005",
            "telephone_number": "704-283-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENDRICK",
        "first_name": "ALFRED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2019-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2005-01336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NC

Sources for this page

Verify at the official NPI Registry.