Individual provider Active NPI

Uzoma N Obuekwe, MD

  • Family Medicine Physician
  • Bristol, VA
National Provider Identifier
1992901409
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101244053 Issued in VA
Practice address
2001 Euclid Ave
Bristol, VA 24201-3609
Phone
(276) 644-4433
Fax
(276) 644-4434
NPI assigned
Jun 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 46386 TN
Family Medicine Physician 207Q00000X 0101244053 VA Primary

Addresses

Primary practice location

2001 Euclid Ave
Bristol, VA 24201-3609

Mailing address

2001 Euclid Ave
Bristol, VA 24201-3609
Phone (276) 644-4433

Other names 1

  • Uzoma N Nwankwor Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20100329000770 VA Practitioner - Family PracticePractitioner - Emergency Medicine 4880720838 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2001 Euclid Ave
Bristol, VA 24201-3609
Phone (276) 644-4433

Hospital & facility affiliations

  • Wellmont Bristol Regional Medical Center Hospital, Bristol, TN, CCN 440012

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
46386TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Family Medicine Clinic CurrentSince Jul 31, 2013 Accepting new patients

Locations

2001 Euclid Ave
Bristol, VA 24201
Phone (276) 644-4433

Interoperability endpoints

  • Direct secure messaging: uobuekwe@2135.securemail.prognocis.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534464000000",
    "number": "1992901409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 EUCLID AVE",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242013609",
            "telephone_number": "276-644-4433",
            "fax_number": "276-644-4434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 EUCLID AVE",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242013609",
            "telephone_number": "276-644-4433",
            "fax_number": "276-644-4434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBUEKWE",
        "first_name": "UZOMA",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-22",
        "last_updated": "2018-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "46386",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101244053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "UZOMA",
            "last_name": "NWANKWOR",
            "middle_name": "N",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bristol, VA

Sources for this page

Verify at the official NPI Registry.