Active NPI
Robert W Garrison, MD
- Urology Physician
- Morehead City, NC
National Provider Identifier
1952409484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 24906
- Practice address
- 3714 Guardian Ave Ste E
Morehead City, NC 28557-4322 - Phone
- (252) 247-2101
- Fax
- (252) 247-4675
- NPI assigned
- Sep 20, 2006
- 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | 24906 | NC | Primary |
Addresses
Primary practice location
3714 Guardian Ave Ste E
Morehead City, NC 28557-4322
Mailing address
3714 Guardian Ave Ste E
Morehead City, NC 28557-4322
Phone (252) 247-2101
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8934732 | 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 |
|---|---|---|---|
| 24906 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203638400000",
"number": "1952409484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3714 GUARDIAN AVE STE E",
"city": "MOREHEAD CITY",
"state": "NC",
"postal_code": "285574322",
"telephone_number": "252-247-2101",
"fax_number": "252-247-4675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3714 GUARDIAN AVE STE E",
"city": "MOREHEAD CITY",
"state": "NC",
"postal_code": "285574322",
"telephone_number": "252-247-2101",
"fax_number": "252-247-4675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARRISON",
"first_name": "ROBERT",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2008-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NC",
"license": "24906",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8934732",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Morehead City, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.