Individual provider Active NPI

Edward Bruce Jones, M.D.

  • Otolaryngology Physician
  • Valdese, NC
National Provider Identifier
1790757748
Registry record updated Aug 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
9300167 Issued in NC
Practice address
1190 Drexel Rd
Valdese, NC 28690-9570
Phone
(828) 438-1930
Fax
(828) 438-1937
NPI assigned
Feb 3, 2006
Last updated
Aug 25, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 9300167 NC Primary

Addresses

Primary practice location

1190 Drexel Rd
Valdese, NC 28690-9570

Mailing address

PO Box 271
Rutherford College, NC 28671-0271
Phone (828) 438-1930

Other identifiers 1

IdentifierTypeStateIssuer
7947051MedicaidNC

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
I20090617000784 NC Practitioner - Otolaryngology 3476603192 Practice locations: Valdese, NC

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
West Virginia University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1190 Drexel Rd
Valdese, NC 28690-9570
Phone (828) 438-1930

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision13
Removal of tissue13
Removal of skin lesions14
Removal or shaving of skin growth37

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ear, Sinus and Allergy Center PastSince Feb 19, 2015 Accepting new patients

Organizations & group practices 1

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282694400000",
    "number": "1790757748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 271",
            "city": "RUTHERFORD COLLEGE",
            "state": "NC",
            "postal_code": "286710271",
            "telephone_number": "828-438-1930",
            "fax_number": "828-438-1937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 DREXEL RD",
            "city": "VALDESE",
            "state": "NC",
            "postal_code": "286909570",
            "telephone_number": "828-438-1930",
            "fax_number": "828-438-1937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "EDWARD",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2010-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NC",
            "license": "9300167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7947051",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdese, NC

Sources for this page

Verify at the official NPI Registry.