Novant Medical Group, Inc.

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

NOVANT MEDICAL GROUP, INC.

Practice address

3901 N Roxboro St
Durham, NC 27704-2181

Phone

(919) 479-4120

Fax

(919) 479-4204

NPI assigned

Sep 4, 2008

Organization subpart

No

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

Authorized official

Name

Dinesh Pai

Title

VP of Operations

Phone

(704) 384-9104

Specialties & licenses 1

Addresses

Other names 1

• Regional Neurosurgery Doing business as

Medicare fee-for-service enrollment

Enrolled in NC, VA2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Novant Medical Group Inc

  • Internal Medicine Physician
  • Haymarket, VA
  • NPI 1639509458

  O20090731000312

  Same enrollment
• Novant Medical Group, Inc

  • Internal Medicine Physician
  • Manassas, VA
  • NPI 1538490263

  O20090731000312

  Same enrollment
• Novant Medical Group, Inc

  • Cardiovascular Disease Physician
  • Galax, VA
  • NPI 1831594522

  O20090731000312

  Same enrollment

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peter Robert Bronec, M.D.

  • Neurological Surgery Physician
  • Durham, NC
  • NPI 1497711634

  Neurological Surgery

  NPD (past)
• Ugo Goetzl, M.D.

  • Neurology Physician
  • Durham, NC
  • NPI 1467415810
  NPD (past)

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220486400000",
    "number": "1801044748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 E 4TH ST",
            "address_2": "SUITE 902",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043261",
            "telephone_number": "919-479-4120",
            "fax_number": "919-479-4204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 N ROXBORO ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042181",
            "telephone_number": "919-479-4120",
            "fax_number": "919-479-4204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVANT MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-04",
        "last_updated": "2008-09-04",
        "status": "A",
        "authorized_official_last_name": "PAI",
        "authorized_official_first_name": "DINESH",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "704-384-9104"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regional Neurosurgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tracy Novack, PA
• Alex Novak, DC
• Novant Medical Group, Inc.
• Novant Medical Group, Inc.
• Novant Medical Group, Inc.
• Robert Joseph Noveck, MD
• Alexandra Elisabeth Novelli
• Brad Patrick Novey, MD
• Bridget A Novey, AUD
• Thomas L Novick, M.D.

• All providers in Durham, NC
• Neurological Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.