Organization Active NPI

Well Bridge Orthopaedics,PA

  • Orthopaedic Surgery Physician
  • Lincolnton, NC
National Provider Identifier
1801930870
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
9601702 Issued in NC
Legal business name
WELL BRIDGE ORTHOPAEDICS,PA
Practice address
701 S Laurel St
Lincolnton, NC 28092-3652
Phone
(704) 732-9966
Fax
(704) 732-3788
NPI assigned
Feb 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Karen M Rives, M.D.
Title
Owner
Phone
(704) 732-9966

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 9601702 NC Primary

Addresses

Primary practice location

701 S Laurel St
Lincolnton, NC 28092-3652

Mailing address

PO Box 2059
Lincolnton, NC 28093-2059
Phone (704) 732-9966

Other identifiers 1

IdentifierTypeStateIssuer
790293JMedicaidNC

National Provider Directory

National Provider Directory

Locations

701 S Laurel St
Lincolnton, NC 28092
Phone (704) 732-7477

701 S Laurel St
Ste C
Lincolnton, NC 28092
Phone (704) 732-9966

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801930870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2059",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280932059",
            "telephone_number": "704-732-9966",
            "fax_number": "704-732-3788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 S LAUREL ST",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280923652",
            "telephone_number": "704-732-9966",
            "fax_number": "704-732-3788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL BRIDGE ORTHOPAEDICS,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RIVES",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-732-9966",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "9601702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "790293J",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincolnton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.