Robert J Reynolds, MD
Individual provider Active NPI Internal Medicine Physician · Albemarle, NC
NPI 1861453383 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1861453383
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 27968 (NC)
- Practice address
- 301 Yadkin St
Albemarle, NC 28001-3441 - Phone
- (843) 237-3378
- Fax
- (843) 237-5073
- NPI assigned
- Apr 1, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27968 | NC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primedoc of Randolph County PA | Internal Medicine | Past | Accepting new patients |
| Asheville Hospitalist Group | Internal Medicine | Past | Accepting new patients |
| Primedoc of Winchester PC | Internal Medicine | Past | Accepting new patients |
| Primedoc of Stanly County PA | Internal Medicine | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 27968 | NC | Yes |
Addresses
Primary practice location
301 Yadkin St
Albemarle, NC 28001-3441
Mailing address
PO Box 751395
Charlotte, NC 28275-1395
Phone (843) 237-3378
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 71356 | Other | NC | BCBS |
| 8971356 | Medicaid | NC |
Other providers in Albemarle, NC
- Ravi Kanth Reddy
- Sara Elizabeth Redwine
- Cynthia Patrick Reinhardt
- Revelstone Family Practice
- Revive Therapy LLC
- Rha Behavioral Health NC LLC
- Rha Health Services Inc
- Rha Health Services NC LLC
- Rha Health Services NC LLC
- Rha Health Services NC LLC
All providers in Albemarle, NC · Internal Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.