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FAYETTEVILLE GASTROENTEROLOGY ASSOCIATES, P.A.
NPI 1457365751
Specialist in Fayetteville, NC

Active since July 29, 2006
2041 VALLEYGATE DR, FAYETTEVILLE, NC 28304(910) 323-5203(910) 323-3650 Get Directions Write a Review

NPPES record last updated: April 14, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Fayetteville Gastroenterology Associates, P.a. NPPES

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

FAYETTEVILLE GASTROENTEROLOGY ASSOCIATES, P.A. (NPI 1457365751) is a healthcare organization registered as a specialist in Fayetteville, North Carolina and active in the NPI registry since July 2006. The organization lists William F Vorder Bruegge, Owner, as its authorized official.

NPPES Registry Identity

NPI1457365751
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameFAYETTEVILLE GASTROENTEROLOGY ASSOCIATES, P.A.
Location Address2041 VALLEYGATE DRFayetteville, NC 28304-3688
Mailing Address2041 Valleygate DrFayetteville, NC 28304-3688 · (910) 323-5203 · Fax (910) 323-3650
Phone(910) 323-5203
Fax(910) 323-3650
Organization SubpartNo
Authorized OfficialWilliam F Vorder BrueggeOwner · (910) 323-5203
Enumeration DateJuly 29, 2006
Last NPPES UpdateApril 14, 2021
NPPES CertifiedFebruary 11, 2021
✔ NPI 1457365751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NC · AS0071
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.
2041 VALLEYGATE DR, Fayetteville, NC 28304
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Other Identifiers 2

Medicaid890191JNC
Other0191JBcbs

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fayetteville Gastroenterology Associates, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Fayetteville Gastroenterology Associates, P.A., which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.

Clinicians, nearest first (7)

Anthony Daniels, MD
Gastroenterology
NPI 1558398511
2041 VALLEYGATE DR STE 101
Fayetteville, NC 28304
(910) 323-5203
✔ PECOS✔ Accepts MedicareSame address
Joseph Henderson, D.O.
Gastroenterology
NPI 1790963759
2041 VALLEYGATE DR STE 101
Fayetteville, NC 28304
(910) 223-7011
✔ PECOS✔ Accepts MedicareSame address
Arvind Kumar, M.D.
Gastroenterology
NPI 1508882325
2041 VALLEYGATE DR STE 101
Fayetteville, NC 28304
(910) 223-7011
✔ PECOS✔ Accepts MedicareSame address
John Poulos, M.D.
Gastroenterology
NPI 1578596896
2041 VALLEYGATE DR
Fayetteville, NC 28304
(910) 323-5203
✔ PECOS✔ Accepts MedicareSame address
William Vorder Bruegge, M.D.
Gastroenterology
NPI 1548293855
2041 VALLEYGATE DR
Fayetteville, NC 28304
(910) 323-5203
✔ PECOS✔ Accepts MedicareSame address
Juan Herrera, MD
Gastroenterology
NPI 1841282118
3024 NEW BERN AVE
Raleigh, NC 27610
(919) 350-5318
✔ PECOS✔ Accepts Medicare55 mi
Vallisitaram Kodali, M.D.
Gastroenterology
NPI 1609809920
1514 JEFFERSON HWY
New Orleans, LA 70121
(504) 842-5293
✔ PECOS✔ Accepts Medicare743 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Fayetteville Gastroenterology Associates, P.A.'s NPI number?

The NPI number for Fayetteville Gastroenterology Associates, P.A. is 1457365751. It was assigned to this organization in the NPPES registry on July 29, 2006.

Where is Fayetteville Gastroenterology Associates, P.A. located?

Fayetteville Gastroenterology Associates, P.A. is located at 2041 Valleygate Dr, Fayetteville, NC 28304. The listed phone number is (910) 323-5203.

What is Fayetteville Gastroenterology Associates, P.A.'s specialty?

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

Is Fayetteville Gastroenterology Associates, P.A. enrolled in Medicare?

Yes. Fayetteville Gastroenterology Associates, P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fayetteville Gastroenterology Associates, P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians, all in Gastroenterology, reassign their Medicare billing to Fayetteville Gastroenterology Associates, P.A.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Fayetteville Gastroenterology Associates, P.A. accept?

Health plans from Blue Cross and Blue Shield of NC list Fayetteville Gastroenterology Associates, P.A. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fayetteville Gastroenterology Associates, P.A. was last updated on April 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.