Organization Active NPI

Edward J. Bujold MD

Doing business as Granite Falls Family Medical Center

  • Family Medicine Physician
  • Granite Falls, NC
National Provider Identifier
1861685364
Registry record updated Apr 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
29829 Issued in NC
Legal business name
EDWARD J. BUJOLD MD
Doing business as
Granite Falls Family Medical Center
Practice address
4132 Hickory Blvd
Granite Falls, NC 28630-8371
Phone
(828) 396-3168
Fax
(828) 396-8783
NPI assigned
Aug 20, 2007
Last updated
Apr 5, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2018

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

Authorized official

Name
Denise Lowry
Title
Practice Manager
Phone
(828) 396-3283

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 29829 NC Primary

Addresses

Primary practice location

4132 Hickory Blvd
Granite Falls, NC 28630-8371

Mailing address

4132 Hickory Blvd
PO Box 965
Granite Falls, NC 28630-8371
Phone (828) 396-3168

Other identifiers 2

IdentifierTypeStateIssuer
19642OtherNCBC
8919642MedicaidNC

Other names 1

  • Granite Falls Family Medical Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522886400000",
    "number": "1861685364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4132 HICKORY BLVD",
            "address_2": "PO BOX 965",
            "city": "GRANITE FALLS",
            "state": "NC",
            "postal_code": "286308371",
            "telephone_number": "828-396-3168",
            "fax_number": "828-396-8783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4132 HICKORY BLVD",
            "city": "GRANITE FALLS",
            "state": "NC",
            "postal_code": "286308371",
            "telephone_number": "828-396-3168",
            "fax_number": "828-396-8783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD J. BUJOLD MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-20",
        "last_updated": "2018-04-05",
        "status": "A",
        "authorized_official_last_name": "LOWRY",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "828-396-3283"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "29829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "19642",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8919642",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Granite Falls Family Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Granite Falls Family Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Granite Falls, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2018; 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.