1760438824 NPI number — DR. ROBERT NORMENT HARPER JR. M.D.

Table of content: (NPI 1154868933)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1760438824 NPI number — DR. ROBERT NORMENT HARPER JR. M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HARPER
Provider First Name:
ROBERT
Provider Middle Name:
NORMENT
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
JR.
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1760438824
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/25/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2011 FALLS VALLEY DR
Provider Second Line Business Mailing Address:
SUITE 106
Provider Business Mailing Address City Name:
RALEIGH
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27615-3451
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
919-870-1311
Provider Business Mailing Address Fax Number:
919-881-0822

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2011 FALLS VALLEY DR
Provider Second Line Business Practice Location Address:
SUITE 106
Provider Business Practice Location Address City Name:
RALEIGH
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27615-3451
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-870-1311
Provider Business Practice Location Address Fax Number:
919-881-0822
Provider Enumeration Date:
05/26/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RG0100X , with the licence number:  21789 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 83767 . This is a "MEDCOST" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 100013004 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 1623214 . This is a "CCN" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 39614 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 8939614 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 4221437 . This is a "AETNA" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 9237501 . This is a "CIGNA" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 1623214 . This is a "MAIL HANDLERS" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 2954493 . This is a "UNITED HEALTHCARE" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".




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