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Contact Information

NEW BERN UROLOGY CLINIC INC
705 NEWMAN RD
NEW BERN, NC28562
 Phone: 252-633-2712
 Fax: 252-633-5418
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for NEW BERN UROLOGY CLINIC INC

NPI # 1316986219
LBN Legal business name NEW BERN UROLOGY CLINIC INC
Authorized official THURLOW UNDERHILL - (PRESIDENT PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 06/06/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
NC License # 16962
NC License # 31041
NC License # 31229
NC License # 9601753
NC Medicaid 8902298
NC Other 02298 BCBS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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