Active NPI
Patrick Box, MD
- Rheumatology Physician
- Charlotte, NC
National Provider Identifier
1720062508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 19208
- Practice address
- 10502 Park Rd
Suite 100
Charlotte, NC 28210-8479 - Phone
- (704) 541-9092
- Fax
- (866) 373-7538
- NPI assigned
- Dec 5, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 19208 | NC | Primary |
Addresses
Primary practice location
10502 Park Rd
Suite 100
Charlotte, NC 28210-8479
Mailing address
10502 Park Rd
Suite 100
Charlotte, NC 28210-8479
Phone (704) 541-9092
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8917180 | Medicaid | NC | |
| N19208 | Medicaid | SC |
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 |
|---|---|---|---|
| 19208 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Health Network, Inc. | Past | Accepting new patients | |
| Carolina Bone & Joint PA | Rheumatology | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rheumatology Physician
- Charlotte, NC
- NPI 1619030079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390262400000",
"number": "1720062508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10502 PARK RD",
"address_2": "SUITE 100",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282108479",
"telephone_number": "704-541-9092",
"fax_number": "866-373-7538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10502 PARK RD",
"address_2": "SUITE 100",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282108479",
"telephone_number": "704-541-9092",
"fax_number": "866-373-7538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOX",
"first_name": "PATRICK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-05",
"last_updated": "2014-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "NC",
"license": "19208",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8917180",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "N19208",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.