Active NPI
William Anthony Bynum, RN
- In Home Supportive Care Agency
- Greensboro, NC
National Provider Identifier
1811149313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 6600949
- Practice address
- 1713 Brice St
Greensboro, NC 27403-1640 - Phone
- (336) 617-6486
- Fax
- (336) 617-6486
- NPI assigned
- Oct 15, 2008
- Last updated
- Oct 15, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | 6600949 | NC | Primary |
Addresses
Primary practice location
1713 Brice St
Greensboro, NC 27403-1640
Mailing address
1713 Brice St
Greensboro, NC 27403-1640
Phone (336) 617-6486
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6600949 | NC | MD | In Home Supportive Care Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224028800000",
"number": "1811149313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1713 BRICE ST",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274031640",
"telephone_number": "336-617-6486",
"fax_number": "336-617-6486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1713 BRICE ST",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274031640",
"telephone_number": "336-617-6486",
"fax_number": "336-617-6486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYNUM",
"first_name": "WILLIAM",
"middle_name": "ANTHONY",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-10-15",
"last_updated": "2008-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NC",
"license": "6600949",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.