KI-BONG UM M.D. NPI 1336195692

NPI Information

NPI: 1336195692
Provider Name: KI-BONG UM, M.D.
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
501 N MAIN ST
ROBERSONVILLE, NC
ZIP 27871
Phone: (252) 795-4192
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Ki-bong Um, M.D. is a general practice in Robersonville, NC. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Ki-bong Um, M.D. NPI is 1336195692. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

501 N MAIN ST
ROBERSONVILLE, NC
ZIP 27871-567
Phone: (252) 795-4192
Fax: (252) 795-4739

The enumeration date for this NPI number is 5/26/2006 and was last updated on 11/30/2009.

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
1	208D00000X	General Practice		25751	NORTH CAROLINA	Yes

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
1	20503	OTHER	NORTH CAROLINA	CIGNA
2	8984530	MEDICAID	NORTH CAROLINA
3	C81418	MEDICARE UPIN
4	84530	OTHER	NORTH CAROLINA	BC
5	202688	MEDICARE PIN	NORTH CAROLINA

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: 5/5/2024

NPI Synchronization or Removal

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