JOSEPH MCNEILL BUMGARNER (NPI# 1851619456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851619456 |
Entity Type | Individual |
Full Name | JOSEPH MCNEILL BUMGARNER |
Credential | MD |
Practice Address |
2800 Blue Ridge Rd Ste 400 Raleigh NC 27607 |
Mailing Address |
2800 Blue Ridge Rd Ste 400 Raleigh NC 27607-6477 |
Practice Telephone | 9197875380 |
Practice Fax Number | 9197873415 |
Mailing Telephone | 9197875380 |
Mailing Fax Number | 9197873415 |
Enumeration Date | 2010-05-07 |
Last Update Date | 2019-08-14 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
2013-00376 | NC | Allopathic & Osteopathic Physicians |
Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
2013-00376 | NC | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | 164573 | NC | Student, Health Care |
Address | Telephone Number | Fax Number |
---|---|---|
126 Macnider Hall Clb # 7005, Chapel Hill, NC 275997005 | 9199661043 | 9198439355 |
Street Address |
2800 BLUE RIDGE RD STE 400 |
City | RALEIGH |
State | NC |
Zip Code | 27607 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396743860 | William Neal Newman | Internal Medicine | 2800 Blue Ridge Rd Ste 400, Raleigh, NC 27607 | 2005-07-08 |
1558871715 | John Christopher Harville II | Nurse Practitioner | 2800 Blue Ridge Rd Ste 400, Raleigh, NC 27607 | 2017-10-02 |
1336697945 | Megan M. Kim | Nurse Practitioner | 2800 Blue Ridge Rd Ste 400, Raleigh, NC 27607-6477 | 2016-09-13 |
1326423229 | Elizabeth Gardner | Nurse Practitioner | 2800 Blue Ridge Rd Ste 400, Raleigh, NC 27607-6477 | 2015-07-21 |
1699195537 | Chrystal Ann Livecchi | Nurse Practitioner | 2800 Blue Ridge Rd Ste 400, Raleigh, NC 27607-6477 | 2014-04-18 |
1831510007 | Keisha Kamile Smith | Nurse Practitioner | 2800 Blue Ridge Rd Ste 400, Raleigh, NC 27607-6477 | 2013-12-13 |
1437449634 | Christopher Rehbeck Kelly | Internal Medicine | 2800 Blue Ridge Rd Ste 400, Raleigh, NC 27607-6477 | 2011-04-09 |
1053586032 | Ashley Moore Lewis | Internal Medicine | 2800 Blue Ridge Rd Ste 400, Raleigh, NC 27607-6477 | 2008-04-29 |
1295903342 | Kyle D Horner | Physician Assistant | 2800 Blue Ridge Rd Ste 400, Raleigh, NC 27607-6477 | 2008-02-12 |
1861690893 | Geoffrey Faber Lewis | Internal Medicine | 2800 Blue Ridge Rd Ste 400, Raleigh, NC 27607-6477 | 2007-07-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972093144 | Kyndra Lawson | Behavior Technician | 5121 Kingdom Way, Suite 100, Raleigh, NC 27607 | 2018-05-14 |
1578082905 | Margaret Roberts Bova | Dietitian, Registered | 4207 Lake Boone Trail, Suite 210, Raleigh, NC 27607 | 2017-09-18 |
1184141897 | Chricat Garrard | Nurse Practitioner | 4207 Lake Boone Trl Ste 200, Raleigh, NC 27607 | 2017-08-23 |
1487178620 | John Patrick Morton | Pharmacist | 2411 Landmark Dr, Raleigh, NC 27607 | 2017-07-31 |
1023538857 | Heather Margaret Mazzola | Audiologist | 7800 Lake Boone Trail, 100, Raleigh, NC 27607 | 2017-06-22 |
1790216984 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2411 Landmark Drive, Raleigh, NC 27607 | 2017-03-21 |
1558819516 | Corilin Nocito Meggitt | Nurse Practitioner | 4505 Fair Meadows Ln Ste 102, Raleigh, NC 27607 | 2016-09-19 |
1942757034 | Stacie Walker | Obstetrics & Gynecology | 4414 Lake Boone Trl Ste 311, Raleigh, NC 27607 | 2016-09-06 |
1831644533 | Alisa Smajlagic Howe | Nurse Practitioner | 4210 Lake Boone Trail, Rex Rehab & Nursing Center, Raleigh, NC 27607 | 2016-08-23 |
1235598632 | Yoseph Saleh | Dentist | 107 Minden Ln, Raleigh, NC 27607 | 2016-02-15 |
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Taxonomy Code | 207RC0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Clinical Cardiac Electrophysiology |
A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
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 |
---|---|---|---|---|
1154320307 | John Mark Englehardt | Internal Medicine | 3324 Six Forks Rd, Raleigh, NC 27609-7233 | 2005-07-19 |
1063077436 | Wakemed Specialists Group, LLC | Internal Medicine | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2019-05-01 |
1780076000 | Wake Specialty Physicians LLC | Internal Medicine | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2015-02-24 |
1851782593 | Wake Specialty Physicians LLC | Internal Medicine | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2015-02-17 |
1972939643 | Rex Hospital Inc | Internal Medicine | 2800 Blue Ridge Rd, Suite 400, Raleigh, NC 27607-6478 | 2013-09-25 |
1861690893 | Geoffrey Faber Lewis | Internal Medicine | 2800 Blue Ridge Rd Ste 400, Raleigh, NC 27607-6477 | 2007-07-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316120017 | Anil K Gehi | Internal Medicine | 6025 Burnett Womack Bldg Cb 7075, 160 Dental Circle, Chapel Hill, NC 27599-7075 | 2007-12-17 |
1114076395 | David W Frazier | Internal Medicine | 2340 Hemby Lane, Suite 100, Greenville, NC 27834 | 2007-01-09 |
1275557571 | Sherry Saxonhouse | Internal Medicine | 307 Yadkin St, Albemarle, NC 28001-3441 | 2006-07-27 |
1720042013 | Angela M Park | Internal Medicine | 1001 Newman Rd, New Bern, NC 28562-5253 | 2006-04-13 |
1588624217 | Hemantkumar Patel | Internal Medicine | 800 Jefferson St, Ste 112, Whiteville, NC 28472-3710 | 2006-03-25 |
1922009935 | Sanjay Prasher | Internal Medicine | 2301 Robeson St, Suite 301, Fayetteville, NC 28305-5640 | 2005-08-02 |
1801495387 | Gillian Grace Winter | Internal Medicine | 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-10-26 |
1033523709 | Moses Cone Affiliated Physicians | Internal Medicine | 1126 N Church St, Suite 300, Greensboro, NC 27401-1000 | 2014-06-20 |
1417219163 | Carolina Healthcare Associates, Inc. | Internal Medicine | 1515 Doctors Cir, Building C, Wilmington, NC 28401-7403 | 2012-06-08 |
1326306168 | Matthew Justin Singleton | Internal Medicine | 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2012-04-30 |
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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.