RANDY DEAN SECRIST M.D. NPI 1861432080

NPI Information

NPI: 1861432080
Provider Name: RANDY DEAN SECRIST, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
3949 BROWNING PL
RALEIGH, NC
ZIP 27609
Phone: (919) 787-8221
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Randy Dean Secrist, M.D. is a diagnostic radiology radiology in Raleigh, NC. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Randy Dean Secrist, M.D. NPI is 1861432080. 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:

3949 BROWNING PL
RALEIGH, NC
ZIP 27609-504
Phone: (919) 787-8221
Fax: (919) 789-4461

The enumeration date for this NPI number is 6/7/2006 and was last updated on 7/8/2007.

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	2085R0202X	Radiology	Diagnostic Radiology	32854	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	A3436	OTHER	NORTH CAROLINA	MEDCOST
2	16-56816	OTHER	NORTH CAROLINA	UNITED HEALTHCARE
3	2141307H	MEDICARE ID-TYPE UNSPECIFIED	NORTH CAROLINA
4	183105	OTHER	NORTH CAROLINA	MEDCOST
5	16-55677	OTHER	NORTH CAROLINA	UNITED HEALTHCARE
6	A72752	MEDICARE UPIN
7	2141307F	MEDICARE ID-TYPE UNSPECIFIED	NORTH CAROLINA
8	A3710	OTHER	NORTH CAROLINA	MEDCOST
9	19-60554	OTHER	NORTH CAROLINA	UNITED HEALTHCARE
10	75181	OTHER	NORTH CAROLINA	BLUECROSS BLUESHIELD
11	2141307G	MEDICARE ID-TYPE UNSPECIFIED	NORTH CAROLINA
12	8975181	MEDICAID	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: 4/28/2024

NPI Synchronization or Removal

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