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CAROLINA BONE & JOINT PA NPI 1619030079


NPI Information

NPI: 1619030079
Provider Name: CAROLINA BONE & JOINT PA
Classification: Internal Medicine - 207RR0500X
Entity Type: Organization

Specialization: Rheumatology

CLIA Number: 34D0244353

Address:
10460 PARK RD
CHARLOTTE, NC
ZIP 28210
Phone: (704) 541-3055
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CAROLINA BONE & JOINT PA is a rheumatology internal medicine in Charlotte, NC. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. CAROLINA BONE & JOINT PA NPI is 1619030079. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10460 PARK RD
CHARLOTTE, NC
ZIP 28210-403
Phone: (704) 541-3055
Fax: (704) 602-0031

The provider's authorized official is John Franklyn Babich .
The authorized official title is Authorized Official and has the following contact phone number (704) 289-4595.

The CLIA number assigned to this NPI record is 34D0244353 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/18/2006 and was last updated on 10/4/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207X00000XOrthopaedic SurgeryNo
2208VP0000XPain MedicinePain MedicineNo
3225100000XPhysical TherapistNo
4335E00000XProsthetic/Orthotic SupplierNORTH CAROLINANo
5207RR0500XInternal MedicineRheumatologyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14632MEDICARE PINSOUTH CAROLINA
2E02849MEDICAIDSOUTH CAROLINA
3230769MEDICARE PINNORTH CAROLINA
48902849MEDICAIDNORTH CAROLINA
50266370005MEDICARE NSC

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: 4/28/2024

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.