RANDOLPH J CORDLE MD NPI 1508896903

NPI Information

  • NPI: 1508896903
  • Provider Name: RANDOLPH J CORDLE, MD
  • Classification: Emergency Medicine - 207P00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1000 BLYTHE BLVD
    CHARLOTTE, NC
    ZIP 28203
  • Phone: (704) 355-2171

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NPI Details

Randolph J Cordle, MD is an emergency medicine in Charlotte, NC. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. Randolph J Cordle, MD NPI is 1508896903. 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:

1000 BLYTHE BLVD
CHARLOTTE, NC
ZIP 28203-812
Phone: (704) 355-2171
Fax: (704) 355-5736

The NPI 1508896903 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)

The enumeration date for this NPI number is 7/3/2006 and was last updated on 11/3/2022.

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
1207P00000XEmergency Medicine200501146NORTH CAROLINANo
2207P00000XEmergency Medicine01041556AINDIANANo
3207PP0204XEmergency MedicinePediatric Emergency Medicine2005-01146NORTH CAROLINANo
42080P0204XPediatricsPediatric Emergency Medicine2005-01146NORTH CAROLINANo
52085U0001XRadiologyDiagnostic Ultrasound2005-01146NORTH CAROLINANo
6207P00000XEmergency Medicine2005-01146NORTH 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
1140JJOTHERNORTH CAROLINANCBCBS
2N46005MEDICAIDSOUTH CAROLINA
35900951MEDICAIDNORTH 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: 11/21/2025

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