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DR. EDWIN L FUENTES D.O.
NPI 1053360966
Family Medicine in Reidsville, NC

Active since May 08, 2006
2509 RICHARDSON DR STE A, REIDSVILLE, NC 27320(336) 552-4274 Get Directions Write a Review

NPPES record last updated: July 25, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jul 25, 2023, Apr 14, 2023, Feb 21, 2017 (3 updates tracked since 2017).

About Dr. Edwin L Fuentes D.o. NPPES

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

DR. EDWIN L FUENTES D.O. (NPI 1053360966) is an individual family medicine provider in Reidsville, North Carolina, licensed in Virginia (0102050134) and active in the NPI registry since May 2006. He maintains a secondary practice location in Danville.

NPPES Registry Identity

NPI1053360966
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. EDWIN L FUENTESCredential: D.O.
Location Address2509 RICHARDSON DR STE AReidsville, NC 27320-5926
Mailing Address109 Deer Run RdDanville, VA 24540-2863 · (434) 791-0306 · Fax (434) 791-0310
Phone(336) 552-4274
Sole ProprietorYes
Enumeration DateMay 8, 2006
Last NPPES UpdateJuly 25, 20233 updates tracked since enumeration
NPPES CertifiedApril 14, 2023
✔ NPI 1053360966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in VA · 0102050134
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2509 RICHARDSON DR STE A, Reidsville, NC 27320
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Secondary Practice Location 1

Location 1109 Deer Run RdDanville, VA 24540-2863 · Phone (434) 791-0306 · Fax (434) 791-0310

Other Identifiers 2

Other9701749NC · State License North Carolina
Medicaid005641870VA

Other Providers at the Same Location NPPES 3

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

HIGHLAND NEUROLOGY, INC
Psychiatry & Neurology (Neurology)
2509 RICHARDSON DR STE A
REIDSVILLE, NC 27320
Rockingham County (336) 347-7998
DAVID RUSSELL SMITH PA
Physician Assistant
2509 RICHARDSON DR STE A
REIDSVILLE, NC 27320
Rockingham County (336) 347-7998
KOFI ADELEKE DOONQUAH M.D.
Psychiatry & Neurology (Neurology)
2509 RICHARDSON DR STE A
REIDSVILLE, NC 27320
Rockingham County (336) 347-7998

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 Edwin Fuentes's NPI number?

The NPI number for Edwin Fuentes is 1053360966. It was assigned to this individual provider in the NPPES registry on May 8, 2006.

Where is Edwin Fuentes located?

Edwin Fuentes practices at 2509 Richardson Dr Ste A, Reidsville, NC 27320. The listed phone number is (336) 552-4274.

What is Edwin Fuentes's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Edwin Fuentes was last updated on July 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.