Provider Type Icon

LUMBERTON MEDICAL CLINIC P.A. NPI 1518014901


NPI Information

NPI: 1518014901
Provider Name: LUMBERTON MEDICAL CLINIC, P.A.
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 34D0245359

Address:
395 W 27TH ST
LUMBERTON, NC
ZIP 28358
Phone: (910) 739-7551
Get Directions

LUMBERTON MEDICAL CLINIC, P.A. is an internal medicine in Lumberton, NC. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. LUMBERTON MEDICAL CLINIC, P.A. NPI is 1518014901. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

395 W 27TH ST
LUMBERTON, NC
ZIP 28358-018
Phone: (910) 739-7551
Fax: (910) 739-2332

The provider's authorized official is Wanda P Bodiford .
The authorized official title is Office Manager and has the following contact phone number (910) 739-7551.

The CLIA number assigned to this NPI record is 34D0245359 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/5/2007 and was last updated on 5/23/2008.


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
1207R00000XInternal Medicine40303NORTH 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
1H62251MEDICARE UPINNORTH CAROLINA
22014302MEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINA
38921108MEDICAIDNORTH CAROLINA
48971550MEDICAIDNORTH CAROLINA
5C82159MEDICARE UPINNORTH CAROLINA
6C86145MEDICARE UPINNORTH CAROLINA
78914154MEDICAIDNORTH CAROLINA
8F39882MEDICARE UPINNORTH CAROLINA
98928375MEDICAIDNORTH CAROLINA
10230395MEDICARE PINNORTH CAROLINA
11H95301MEDICARE UPINNORTH CAROLINA
12209913MEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINA
13C83521MEDICARE UPINNORTH CAROLINA
142176507MEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINA
15203921BMEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINA
162022442MEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINA
178952432MEDICAIDNORTH CAROLINA
1889133Y2MEDICAIDNORTH CAROLINA
19C81986MEDICARE UPINNORTH CAROLINA
20205903MEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINA
21203649BMEDICARE ID-TYPE UNSPECIFIEDNORTH 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

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.