INDEPENDENCE HEALTH PA - NPI 1184882094 - Internal Medicine in Smithfield, NC

Q: What is Independence Health PA's NPI number?

The NPI number for Independence Health PA is 1184882094. It was assigned to this organization in the NPPES registry on May 28, 2008.

Q: What is Independence Health PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

On this page

About Independence Health Pa NPPES

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

INDEPENDENCE HEALTH PA (NPI 1184882094) is a healthcare organization registered as a geriatric medicine in Smithfield, North Carolina and active in the NPI registry since May 2008. The organization lists Bernard L Bennett, President, as its authorized official.

NPPES Registry Identity

NPI1184882094

Entity TypeOrganization

Primary Taxonomy207RG0300X

Legal Business NameINDEPENDENCE HEALTH PA

Location Address515 BARBOUR RDSmithfield, NC 27577-7698

Mailing Address1209 Falls Bridge DrRaleigh, NC 27614-8935 · (919) 622-8272 · Fax (919) 847-3526

Phone(919) 934-6017

Fax(919) 934-2057

Organization SubpartNo

Authorized OfficialBernard L BennettPresident · (919) 622-8272

Enumeration DateMay 28, 2008

Last NPPES UpdateOctober 31, 2013

✔ NPI 1184882094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RG0300X

License✔ Licensed in NC · 36492

Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

515 BARBOUR RD, Smithfield, NC 27577

Open in Google Maps ↗

Other Identifiers 2

Medicare PIN2191063FNC

OtherDO0034NC · Medicare Railroad

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 11

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

MS. DEBORAH ANN GEIB LPTA

Physical Therapy Assistant