Sentara Albemarle Regional Medical Center, LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

SENTARA ALBEMARLE REGIONAL MEDICAL CENTER, LLC

Practice address

5200 N Croatan Hwy
Kitty Hawk, NC 27949-3990

Phone

(252) 255-6040

NPI assigned

Jun 18, 2014

Organization subpart

Yes

Parent organization

SENTARA HOSPITALSAs reported in NPPES

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

Authorized official

Name

Mr. Robert A Broermann

Title

Sr VP/Cfo

Phone

(757) 455-7020

Specialties & licenses 1

Addresses

Other names 1

• Sentara Kitty Hawk Advanced Imaging Center Doing business as

Part of

Sentara Hospitals Dba BGRP

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

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489363200000",
    "number": "1982018941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 N CROATAN HWY",
            "city": "KITTY HAWK",
            "state": "NC",
            "postal_code": "279493990",
            "telephone_number": "252-255-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 N CROATAN HWY",
            "city": "KITTY HAWK",
            "state": "NC",
            "postal_code": "279493990",
            "telephone_number": "252-255-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENTARA ALBEMARLE REGIONAL MEDICAL CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SENTARA HOSPITALS",
        "enumeration_date": "2014-06-18",
        "last_updated": "2017-03-13",
        "status": "A",
        "authorized_official_last_name": "BROERMANN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SR VP/CFO",
        "authorized_official_telephone_number": "757-455-7020",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sentara Kitty Hawk Advanced Imaging Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Seaside Physical Therapy LLC
• Sentara Albemarle Regional Medical Center LLC
• Sentara Albemarle Regional Medical Center, LLC
• Sentara Albemarle Regional Medical Center, LLC
• Sentara Albemarle Regional Medical Center, LLC
• Sentara Medical Group
• Rebecca Ann Shealey, M.S. CCC-SLP
• Bruce G Shepard, PHD
• Zoe C Sherman, PA-C, MHS
• Alyssa Annamarie Smith, PA-C

• Radiology Clinic/Center in Kitty Hawk, NC
• Providers in Kitty Hawk, NC by specialty
• Radiology Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.