MICHAEL ROBERT SUNDERMAN M.D. NPI 1649230913

NPI Information

  • NPI: 1649230913
  • Provider Name: MICHAEL ROBERT SUNDERMAN, M.D.
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • Address: 2460 CURTIS ELLIS DR
    ROCKY MOUNT, NC
    ZIP 27804
  • Phone: (252) 962-3340

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NPI Details

Michael Robert Sunderman, M.D. is a specialist in Rocky Mount, NC. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Michael Robert Sunderman, M.D. NPI is 1649230913. 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:

2460 CURTIS ELLIS DR
ROCKY MOUNT, NC
ZIP 27804-237
Phone: (252) 962-3340
Fax: (252) 962-3320

The enumeration date for this NPI number is 3/23/2006 and was last updated on 12/4/2013.

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 Medicine24534NORTH CAROLINANo
2174400000XSpecialist24534NORTH 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
1C86656MEDICARE UPINNORTH CAROLINA
2210794GMEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINA
38980996MEDICAIDNORTH 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: 3/30/2025

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