MARK L PRENDERGAST MD
NPI 1255322681
Otolaryngology in Statesville, NC

Active since November 03, 2005
707 BRYANT ST, STATESVILLE, NC 28677(704) 873-5224 Get Directions Write a Review

NPPES record last updated: January 25, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mark L Prendergast Md NPPES

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

MARK L PRENDERGAST MD (NPI 1255322681) is an individual otolaryngology provider in Statesville, North Carolina, licensed in North Carolina (31358) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1255322681
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameMARK L PRENDERGASTCredential: MD
Location Address707 BRYANT STStatesville, NC 28677-4142
Mailing Address650 Signal Hill Drive Ext, Po Box 1845Statesville, NC 28625-4353 · (704) 873-4277 · Fax (704) 873-4511
Sole ProprietorNo
Enumeration DateNovember 3, 2005
Last NPPES UpdateJanuary 25, 2008
NPI 1255322681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in NC · 31358
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
707 BRYANT ST, Statesville, NC 28677

Other Identifiers 3

Medicaid8966734NC
Medicare ID-Type Unspecified209702CNC
Medicare UPINC86049NC

Other Providers at the Same Location NPPES 10

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

Audiologist
707 BRYANT ST
STATESVILLE, NC 28677
Otolaryngology
707 BRYANT ST
STATESVILLE, NC 28677
Clinic/Center (Hearing and Speech)
707 BRYANT ST
STATESVILLE, NC 28677
Nurse Practitioner (Family)
707 BRYANT ST
STATESVILLE, NC 28677
Audiologist
707 BRYANT ST
STATESVILLE, NC 28677
Audiologist
707 BRYANT ST
STATESVILLE, NC 28677
Otolaryngology
707 BRYANT ST
STATESVILLE, NC 28677
Clinic/Center (Ambulatory Surgical)
707 BRYANT ST, LOWER LEVEL
STATESVILLE, NC 28677

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 Mark Prendergast's NPI number?

The NPI number for Mark Prendergast is 1255322681. It was assigned to this individual provider in the NPPES registry on November 3, 2005.

Where is Mark Prendergast located?

Mark Prendergast practices at 707 Bryant St, Statesville, NC 28677. The listed phone number is (704) 873-5224.

What is Mark Prendergast's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

When was this NPI record last updated?

The NPPES record for Mark Prendergast was last updated on January 25, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.