NPIMap

Organization Active NPI

Ucb Properties LLC

Doing business as Chicora Urgent Care

  • Family Medicine Physician
  • Supply, NC
National Provider Identifier
1861461204
Registry record updated Dec 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
UCB PROPERTIES LLC
Doing business as
Chicora Urgent Care
Practice address
20 Medical Campus Dr
Supply, NC 28462
Phone
(910) 755-6300
Fax
(910) 755-2364
NPI assigned
Mar 17, 2006
Last updated
Dec 13, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2007

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

Authorized official

Name
Dr. Bernard Leroy Langston III, MDNPI 1821066358
Title
President
Phone
(910) 754-8731

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

20 Medical Campus Dr
Supply, NC 28462

Mailing address

PO Box 2528
Chicora Urgent Care
Shallotte, NC 28459
Phone (910) 755-6300

Other names 1

  • Chicora Urgent Care Doing business as

National Provider Directory

National Provider Directory

Locations

20 Medical Campus Dr NW
Ste 106A
Supply, NC 28462
Phone (910) 755-6300

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1861461204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2528",
            "address_2": "CHICORA URGENT CARE",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "28459",
            "telephone_number": "910-755-6300",
            "fax_number": "910-755-2364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MEDICAL CAMPUS DR",
            "city": "SUPPLY",
            "state": "NC",
            "postal_code": "28462",
            "telephone_number": "910-755-6300",
            "fax_number": "910-755-2364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCB PROPERTIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-17",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "LANGSTON",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "LEROY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-754-8731",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chicora Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Supply, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; 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.