NCCU SPORTS MEDICINE
NPI 1508237850
Family Medicine in Durham, NC

Q: What is North Carolina Central University's NPI number?

The NPI number for North Carolina Central University is 1508237850. It was assigned to this organization in the NPPES registry on October 13, 2015. The provider is doing business as Nccu Sports Medicine.

Q: What is North Carolina Central University's specialty?

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

Active since October 13, 2015

1801 FAYETTEVILLE ST, DURHAM, NC 27707(919) 530-6215(972) 367-3451 Get Directions Write a Review

NPPES record last updated: October 13, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Nccu Sports Medicine NPPES

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

NCCU SPORTS MEDICINE (NPI 1508237850) is a healthcare organization registered as a family medicine in Durham, North Carolina and active in the NPI registry since October 2015. The organization lists Mouzon Bass, Agent, as its authorized official.

NPPES Registry Identity

NPI1508237850

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameNORTH CAROLINA CENTRAL UNIVERSITY

Location Address1801 FAYETTEVILLE STDurham, NC 27707-3129

Mailing AddressPo Box 650850, Dept 1011Dallas, TX 75265-0850 · (800) 555-9073 · Fax (972) 367-3452

Phone(919) 530-6215

Fax(972) 367-3451

Organization SubpartNo

Authorized OfficialMouzon BassAgent · (972) 367-4845

Enumeration DateOctober 13, 2015

✔ NPI 1508237850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

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.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X

1801 FAYETTEVILLE ST, Durham, NC 27707

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Other Names 1

Doing Business AsNccu Sports Medicine

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 14

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

MR. ADRIAN GADDIS LAT, ATC

Specialist/Technologist (Athletic Trainer)

1801 FAYETTEVILLE ST, B103 WALKER COMPLEX
DURHAM, NC 27707

Durham County (919) 530-6215

LORIANNE TANT LAT, ATC

Specialist/Technologist (Athletic Trainer)

1801 FAYETTEVILLE ST, B103 WALKER COMPLEX
DURHAM, NC 27707

Durham County (919) 530-6215

MR. SEAN THOMAS ATC

Specialist/Technologist (Athletic Trainer)

1801 FAYETTEVILLE ST, BOX 19705
DURHAM, NC 27707

Durham County (919) 530-6215

DR. CAROLYN MOORE PH.D.

Psychologist (Clinical)