Active NPI
Andy Halberg, DO
- Family Medicine Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2011-00938
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2011-00938 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DLP Western Carolina Physician Practices LLC | Current | Accepting new patients | |
| DLP Harris Regional Hospital LLC | Current | Accepting new patients | |
| DLP Haywood Regional Medical Center LLC | Current | Accepting new patients | |
| BHG Xxxvii, LLC | Current | Accepting new patients | |
| DLP Western Carolina Physician Practices LLC | Family Medicine | Current | Accepting new patients |
| Mayrx | Family Medicine | Current | Accepting new patients |
| DLP Haywood Regional Medical Center LLC | Current | Accepting new patients | |
| BHG Xxxvi, LLC | Current | 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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Asheville, NC
- NPI 1629476627
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Clyde, NC
- NPI 1689072688
-
- Emergency Medicine Physician
- Sylva, NC
- NPI 1609279330
-
- Emergency Medicine Physician
- Clyde, NC
- NPI 1336542067
-
- Internal Medicine Physician
- Sylva, NC
- NPI 1609281641
Family Medicine
-
- Family Medicine Physician
- Asheville, NC
- NPI 1255039897
-
- Psychiatric Hospital Unit
- Clyde, NC
- NPI 1568618379
-
- Diagnostic Radiology Physician
- Clyde, NC
- NPI 1932925062
-
- Methadone Clinic
- Shelby, NC
- NPI 1609551688
-
- Methadone Clinic
- Asheville, NC
- NPI 1639455991
-
- General Acute Care Hospital
- Clyde, NC
- NPI 1811158215
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.