KI-BONG UM M.D.
NPI 1336195692
General Practice in Robersonville, NC

Active since May 26, 2006
501 N MAIN ST, ROBERSONVILLE, NC 27871(252) 795-4192(252) 795-4739 Get Directions Write a Review

NPPES record last updated: November 30, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ki-bong Um M.d. NPPES

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

KI-BONG UM M.D. (NPI 1336195692) is an individual general practice provider in Robersonville, North Carolina, licensed in North Carolina (25751) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1336195692
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameKI-BONG UMCredential: M.D.
Location Address501 N MAIN STRobersonville, NC 27871-9567
Mailing Address501 N Main St, Po Box 625Robersonville, NC 27871-9567 · (252) 795-4192 · Fax (252) 795-4739
Fax(252) 795-4739
Sole ProprietorYes
Enumeration DateMay 26, 2006
Last NPPES UpdateNovember 30, 2009
NPI 1336195692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in NC · 25751
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
501 N MAIN ST, Robersonville, NC 27871

Other Identifiers 5

Other20503NC · Cigna
Medicaid8984530NC
Medicare UPINC81418
Other84530NC · Bc
Medicare PIN202688NC

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
501 N MAIN ST
ROBERSONVILLE, NC 27871

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 Ki-bong Um's NPI number?

The NPI number for Ki-bong Um is 1336195692. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Where is Ki-bong Um located?

Ki-bong Um practices at 501 N Main St, Robersonville, NC 27871. The listed phone number is (252) 795-4192.

What is Ki-bong Um's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Ki-bong Um was last updated on November 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.