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BLACK RIVER FAMILY PRACTICE AT ROCKY POINT
NPI 1013101781
Specialist in Rocky Point, NC

Active since September 05, 2007
7910 US HIGHWAY 117 S, SUITE 120, ROCKY POINT, NC 28457(910) 675-0120(910) 675-2308 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Black River Family Practice At Rocky Point NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLACK RIVER FAMILY PRACTICE AT ROCKY POINT (NPI 1013101781) is a healthcare organization registered as a specialist in Rocky Point, North Carolina and active in the NPI registry since September 2007. The organization lists Thomas Scott Martin, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1013101781
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameBLACK RIVER HEALTH SERVICES, INC.
Location Address7910 US HIGHWAY 117 S, SUITE 120Rocky Point, NC 28457-7409
Mailing Address301 S Campbell StBurgaw, NC 28425-5011 · (910) 259-6973 · Fax (910) 259-6975
Phone(910) 675-0120
Fax(910) 675-2308
Organization SubpartNo
Authorized OfficialThomas Scott MartinExecutive Director · (910) 259-6973
Enumeration DateSeptember 5, 2007
Last NPPES UpdateJuly 21, 2022
✔ NPI 1013101781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
7910 US HIGHWAY 117 S, Rocky Point, NC 28457
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Other Names 1

Doing Business AsBlack River Family Practice At Rocky Point

Other Identifiers 2

Medicaid5908417NC
Other020A0NC · Bcbs Nc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JOHN C. WADSWORTH PA-C
Physician Assistant
7910 US HIGHWAY 117 S, SUITE 120
ROCKY POINT, NC 28457
Pender County (910) 259-0400
CHRISTI RAY DO
Family Medicine
7910 US HIGHWAY 117 S, SUITE 120
ROCKY POINT, NC 28457
Pender County (910) 259-0400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Black River Health Services, Inc.'s NPI number?

The NPI number for Black River Health Services, Inc. is 1013101781. It was assigned to this organization in the NPPES registry on September 5, 2007. The provider is doing business as Black River Family Practice At Rocky Point.

Where is Black River Health Services, Inc. located?

Black River Health Services, Inc. is located at 7910 Us Highway 117 S Suite 120, Rocky Point, NC 28457. The listed phone number is (910) 675-0120.

What is Black River Health Services, Inc.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Black River Health Services, Inc. was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.