WILL BYNUM, M. D., P.A. (NPI# 1396966412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396966412 |
| Entity Type | Organization |
| Organization Name | WILL BYNUM, M. D., P.A. |
| Practice Address |
1704 Glendale Dr Sw Suite H Wilson NC 27893-4415 |
| Practice Telephone | 2522939898 |
| Practice Fax Number | 2522939915 |
| Mailing Telephone | 2522939898 |
| Mailing Fax Number | 2522939915 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2008-04-28 |
| Authorized Official Name | DR. ROBERT WILLIAM BYNUM IV (PHYSICIAN) |
| Authorized Official Telephone | 2522939898 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BLUE CROSS GOUP NUMBER | 0139C | 01 |
| NC | 890139C | 05 |
| Street Address |
1704 GLENDALE DR SW SUITE H |
| City | WILSON |
| State | NC |
| Zip Code | 27893-4415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437116613 | Douglas C Brewer | Internal Medicine | 1704 Glendale Dr Sw, Suite B, Wilson, NC 27893-4415 | 2006-04-30 |
| 1114052636 | Tonya S Little, Md Family Medicine | Family Medicine | 1704 Glendale Dr Sw, Suite C, Wilson, NC 27893-4415 | 2007-02-23 |
| 1275684730 | Wilson Podiatry Associates, Pa | Podiatrist | 1704 Glendale Dr Sw, Suite A, Wilson, NC 27893-4678 | 2007-01-12 |
| 1902995111 | Tonya Dee Smith Little | Family Medicine | 1704 Glendale Dr Sw, Suite C, Wilson, NC 27893-4415 | 2006-10-12 |
| 1366483638 | Kendall Leon Blackwell | Podiatrist | 1704 Glendale Dr Sw, Suite A, Wilson, NC 27893-4678 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245847524 | Graceland Student Services LLC | Early Intervention Provider Agency | 610 Fairview Ave., Wilson, NC 27893 | 2020-09-30 |
| 1508477894 | Evan Michael Abatiell | Specialist/Technologist | 400 Atlantic Christian E West Ne, Wilson, NC 27893 | 2020-08-11 |
| 1679100606 | Newgreen Inhomecare Group Inc | Registered Nurse | 121 Nast Street N, Wilson, NC 27893 | 2020-03-27 |
| 1942772983 | Open Water Medical, Pa | Clinic/Center | 4008 Nc-42, Wilson, NC 27893 | 2018-12-31 |
| 1679043244 | Madison Rose Propst | Social Worker | 2416 Bedgood, Wilson, NC 27893 | 2018-11-27 |
| 1104396753 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 2500 Horton Blvd, Wilson, NC 27893 | 2018-11-27 |
| 1528545498 | North Carolina In-home Partner-viii, LLC | Home Health | 1901 Tarboro St Sw Ste 304, Wilson, NC 27893 | 2018-07-24 |
| 1518478957 | Home Away From Home, Inc. | In Home Supportive Care | 1723 Meadowbrook Lane W., Wilson, NC 27893 | 2017-10-12 |
| 1942721295 | Sandra Susan Blazek | Social Worker | 608 Nash Street Nw, Wilson, NC 27893 | 2017-06-27 |
| 1700306297 | Kimberly Denton Almkuist | Nurse Practitioner | Wilson County Health Department, 1801 Glendale Dr. Sw, Wilson, NC 27893 | 2017-06-26 |
| Find all providers in zip 27893 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477525111 | Robert William Bynum Iv | Internal Medicine | 1704 S Glendale Dr, Suite H, Wilson, NC 27893 | 2006-02-06 |
| 1942293717 | Wilson Nephrology-internal Medicine Pa | Internal Medicine | 2503 Wooten Blvd, Wilson, NC 27893 | 2005-08-26 |
| 1205829066 | Anwar Darwish Al-haidary | Internal Medicine | 2503 Wooten Blvd Sw, Wilson, NC 27893-4426 | 2005-08-26 |
| 1215229612 | Nirav Manubhai Jasani | Internal Medicine | 2402 Camden St Sw, Suite 700, Wilson, NC 27893-8608 | 2011-05-04 |
| 1013959527 | Roger Weed Lamanna | Internal Medicine | 2503 Wooten Blvd Sw, Wilson, NC 27893-4426 | 2006-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982251492 | Renal Care, Pllc | Internal Medicine | 607 E Parker Rd Ste A, Morganton, NC 28655-8105 | 2019-08-20 |
| 1508360462 | North Carolina Nephrology Pa | Internal Medicine | 3604 Bush St Fl 2, Raleigh, NC 27609-7511 | 2018-03-23 |
| 1558865444 | North Carolina Nephrology Pa | Internal Medicine | 1006 N Arendell Ave, Zebulon, NC 27597-2352 | 2018-03-23 |
| 1932603800 | North Carolina Nephrology Pa | Internal Medicine | 2824 Rogers Rd Ste 104, Wake Forest, NC 27587-3896 | 2018-03-23 |
| 1760986608 | North Carolina Nephrology Pa | Internal Medicine | 160 Macgregor Pines Dr Ste 301, Cary, NC 27511-6037 | 2018-03-23 |
| 1083168181 | Private Diagnostic Clinic, Pllc | Internal Medicine | 10207 Cerny St Ste 306, Raleigh, NC 27617-4879 | 2016-08-08 |
| 1932596525 | Robert Lorch | Internal Medicine | 2 Genome Ct, Durham, NC 27710-3011 | 2015-04-21 |
| 1770991945 | Barbara Gillespie | Internal Medicine | 109 Linton Banks Pl, Cary, NC 27513-2051 | 2014-07-31 |
| 1902216757 | Evan Zeitler | Internal Medicine | 102 Mason Farm Road, Cb 7020, Chapel Hill, NC 27599-7020 | 2014-05-02 |
| 1649512583 | William Preston Nixon Jr. | Internal Medicine | 2 Jasmine Ct, Wrightsville Beach, NC 28480-1924 | 2013-03-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.