REGIONAL DIABETES AND ENDOCRINE CENTER NPI 1962404384

NPI Information

NPI: 1962404384
Provider Name: REGIONAL DIABETES AND ENDOCRINE CENTER
Classification: Internal Medicine - 207RE0101X
Specialization: Endocrinology, Diabetes & Metabolism
Entity Type: Organization
Doing Business As: DIABETES AND ENDOCRINE CENTER
CLIA Number: 34D1015049
Address: 101 ROBESON ST STE 405
FAYETTEVILLE, NC
ZIP 28301
Phone: (910) 615-1623

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NPI Details

REGIONAL DIABETES AND ENDOCRINE CENTER is an endocrinology and diabetes and metabolism internal medicine in Fayetteville, NC. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. REGIONAL DIABETES AND ENDOCRINE CENTER NPI is 1962404384. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Diabetes And Endocrine Center.

The provider's business location address is:

101 ROBESON ST STE 405
FAYETTEVILLE, NC
ZIP 28301-520
Phone: (910) 615-1623
Fax: (910) 321-6248

The provider's authorized official is Joseph Barton Fiser .
The authorized official title is Vp Corporate Reveune Cycle and has the following contact phone number (910) 615-5572.

The CLIA number assigned to this NPI record is 34D1015049 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/15/2005 and was last updated on 1/8/2025.

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	207RE0101X	Internal Medicine	Endocrinology, Diabetes & Metabolism			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	89104UR	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: 3/30/2025

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