Active NPI
Roman S Dobransky, MD
- Internal Medicine Physician
- Edenton, NC
National Provider Identifier
1932150208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 200500400
- Practice address
- 105 Mark Dr
Edenton, NC 27932-1704 - Phone
- (252) 482-3047
- Fax
- (252) 482-5061
- NPI assigned
- May 12, 2006
- Last updated
- Jan 13, 2012
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 200500400 | NC | Primary |
Addresses
Primary practice location
105 Mark Dr
Edenton, NC 27932-1704
Mailing address
PO Box 569
Edenton, NC 27932-0569
Phone (252) 482-3047
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5901542 | Medicaid | NC |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200500400 | NC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vidant Medical Group LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Greenville, NC
- NPI 1477648731
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326412800000",
"number": "1932150208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 569",
"city": "EDENTON",
"state": "NC",
"postal_code": "279320569",
"telephone_number": "252-482-3047",
"fax_number": "252-482-5061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 MARK DR",
"city": "EDENTON",
"state": "NC",
"postal_code": "279321704",
"telephone_number": "252-482-3047",
"fax_number": "252-482-5061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOBRANSKY",
"first_name": "ROMAN",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-12",
"last_updated": "2012-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "200500400",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5901542",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Edenton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.