CAPE FEAR REGIONAL UROLOGICAL NPI 1255397725

NPI Information

  • NPI: 1255397725
  • Provider Name: CAPE FEAR REGIONAL UROLOGICAL
  • Classification: Urology - 208800000X
  • Entity Type: Organization
  • Address: 1537 OWEN PARK LN
    FAYETTEVILLE, NC
    ZIP 28304
  • Phone: (910) 485-8801

Map and Directions

Get Directions

NPI Details

CAPE FEAR REGIONAL UROLOGICAL is an urology in Fayetteville, NC. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. CAPE FEAR REGIONAL UROLOGICAL NPI is 1255397725. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1537 OWEN PARK LN
FAYETTEVILLE, NC
ZIP 28304-454
Phone: (910) 485-8801
Fax: (910) 485-5605

The provider's authorized official is Susan Wilson .
The authorized official title is Office Manager and has the following contact phone number (910) 485-8801.

The enumeration date for this NPI number is 4/25/2006 and was last updated on 1/9/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208800000XUrology9400496NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18901823MEDICAIDNORTH CAROLINA
20335MEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINAMCX PROVIDER NO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI