ROCKINGHAM UROLOGY ASSOC NPI 1922083146

NPI Information

  • NPI: 1922083146
  • Provider Name: ROCKINGHAM UROLOGY ASSOC
  • Classification: Urology - 208800000X
  • Entity Type: Organization
  • CLIA Number: 34D2297547
  • Address: 1818 RICHARDSON DR STE F
    REIDSVILLE, NC
    ZIP 27320
  • Phone: (336) 342-4791

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NPI Details

ROCKINGHAM UROLOGY ASSOC is an urology in Reidsville, NC. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. ROCKINGHAM UROLOGY ASSOC NPI is 1922083146. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1818 RICHARDSON DR STE F
REIDSVILLE, NC
ZIP 27320-450
Phone: (336) 342-4791
Fax: (336) 634-0790

The provider's authorized official is Teresa S Warren .
The authorized official title is Office Manager and has the following contact phone number (336) 342-4791.

The CLIA number assigned to this NPI record is 34D2297547 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/9/2005 and was last updated on 11/9/2011.

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
1208800000XUrology72530NORTH 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
1890121CMEDICAIDNORTH CAROLINA
20121COTHERNORTH CAROLINABLUE CROSS BLUE SHIELD
32381OTHERNORTH CAROLINAPARTNERS MEDICARE
45778940001MEDICARE NSCNORTH CAROLINA
51210MEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINA

What is NPI?

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This page was last updated on: 3/30/2025

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