Individual provider Active NPI

Andy Halberg, DO

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1972766483
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2011-00938 Issued in NC
Practice address
1300 N 12TH St
Suite 605
Phoenix, AZ 85006-2848
Phone
(602) 239-4567
NPI assigned
Jul 3, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X 2011-00938 NC
Family Medicine Physician 207Q00000X 2011-00938 NC Primary

Addresses

Primary practice location

1300 N 12TH St
Suite 605
Phoenix, AZ 85006-2848

Mailing address

262 Leroy George Dr
Clyde, NC 28721-7430
Phone (828) 631-9462

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111010000337 NC Practitioner - Family Practice 5991977274 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2011-00938NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Western Carolina Physician Practices LLC CurrentSince Aug 1, 2014 Accepting new patients
DLP Harris Regional Hospital LLC CurrentSince Oct 19, 2014 Accepting new patients
DLP Haywood Regional Medical Center LLC CurrentSince Oct 19, 2014 Accepting new patients
BHG Xxxvii, LLC CurrentSince Apr 1, 2019 Accepting new patients
DLP Western Carolina Physician Practices LLC Family Medicine CurrentSince Aug 1, 2014 Accepting new patients
Mayrx Family Medicine CurrentSince May 1, 2023 Accepting new patients
DLP Haywood Regional Medical Center LLC CurrentSince Oct 19, 2014 Accepting new patients
BHG Xxxvi, LLC CurrentSince Apr 1, 2019 Accepting new patients
Ats of North Carolina, LLC Past Accepting new patients
DLP Haywood Regional Medical Center LLC. Past Accepting new patients
Ats of North Carolina, LLC Past Accepting new patients

Locations

18 Wedgefield Dr
Asheville, NC 28806
Phone (828) 252-8748

301 Stone Ridge Blvd
Asheville, NC 28804
Phone (828) 845-1020

600 Hospital Dr
Ste 9
Clyde, NC 28721
Phone (828) 452-0331

414 Hospital Dr
Clyde, NC 28721
Phone (828) 452-1406

262 Leroy George Dr
Clyde, NC 28721
Phone (828) 452-8210

176 Walmart Plz
Sylva, NC 28779
Phone (828) 631-8282

68 Hospital Rd
Sylva, NC 28779
Phone (828) 586-7351

98 Doctors Dr
Ste 200
Sylva, NC 28779
Phone (828) 586-8971

388 S Main St
Ste 3
Waynesville, NC 28786
Phone (828) 845-1020

5001 Spring Vly
Ste 600E
Dallas, TX 75244

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1972766483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 LEROY GEORGE DR",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287217430",
            "telephone_number": "828-631-9462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N 12TH ST",
            "address_2": "SUITE 605",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062848",
            "telephone_number": "602-239-4567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALBERG",
        "first_name": "ANDY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-03",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NC",
            "license": "2011-00938",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2011-00938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.