P F BLOMGREN & D C KELLER PTR NPI 1326102021

NPI Information

  • NPI: 1326102021
  • Provider Name: P F BLOMGREN & D C KELLER PTR
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: GREENSBORO FAMILY PRACTICE ASSOCIATES LLP
  • Address: 317 W WENDOVER AVE
    GREENSBORO, NC
    ZIP 27408
  • Phone: (336) 553-0045

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NPI Details

P F BLOMGREN & D C KELLER PTR is a family medicine in Greensboro, NC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. P F BLOMGREN & D C KELLER PTR NPI is 1326102021. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Greensboro Family Practice Associates Llp.

The provider's business location address is:

317 W WENDOVER AVE
GREENSBORO, NC
ZIP 27408-401
Phone: (336) 553-0045
Fax: (336) 553-0505

The provider's authorized official is Peter F Blomgren .
The authorized official title is Managing Partner and has the following contact phone number (336) 553-0045.

The enumeration date for this NPI number is 12/20/2006 and was last updated on 10/6/2010.

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
1207Q00000XFamily Medicine200001392336NORTH 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
101667OTHERNORTH CAROLINABCBS
20273MEDICARE PINNORTH CAROLINA
389016679MEDICAIDNORTH CAROLINA
41311190001OTHERNORTH CAROLINAPALMETTO

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

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