Stephen H Cox, M.D.

Individual provider Active NPI Family Medicine Physician · Broadway, NC

NPI 1902800949 · NPPES record last updated Jun 15, 2010

Key facts

NPI
1902800949
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
28163 (NC)
Practice address
101 Church Street
Broadway, NC 27505
Phone
(919) 258-6521
Fax
(919) 258-6693
NPI assigned
Jun 8, 2005
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
28163NCMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 28163 NC Yes

Addresses

Primary practice location

101 Church Street
Broadway, NC 27505

Mailing address

1125 Carthage St
Sanford, NC 27330-4162
Phone (919) 774-6023

Other identifiers

IdentifierTypeStateIssuer
24916OtherNCBLUE CROSS BLUE SHIELD
8924965MedicaidNC
22494OtherNCMEDCOST
270329OtherNCMAMSI
0138852OtherNCUNITED HEALTHCARE
080104308OtherNCRR MEDICARE
3915OtherNCPARTNERS

Other providers in Broadway, NC

All providers in Broadway, NC · Family Medicine Physician in North Carolina

Sources for this page

Verify at the official NPI Registry.