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STATESVILLE CARDIOVASCULAR CLINIC PA
NPI 1558476606
Internal Medicine - Cardiovascular Disease in Statesville, NC

Active since August 20, 2006
738 BRYANT ST, SUITE A, STATESVILLE, NC 28677(704) 873-1180(704) 873-1116 Get Directions Write a Review

NPPES record last updated: August 13, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Statesville Cardiovascular Clinic Pa NPPES

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

STATESVILLE CARDIOVASCULAR CLINIC PA (NPI 1558476606) is a healthcare organization registered as a cardiovascular disease in Statesville, North Carolina and active in the NPI registry since August 2006. The organization lists James Hedrick Bradford, President, as its authorized official.

NPPES Registry Identity

NPI1558476606
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameSTATESVILLE CARDIOVASCULAR CLINIC PA
Location Address738 BRYANT ST, SUITE AStatesville, NC 28677-4189
Mailing Address738 Bryant St, Suite AStatesville, NC 28677-4189 · (704) 873-1180 · Fax (704) 873-1116
Phone(704) 873-1180
Fax(704) 873-1116
Organization SubpartNo
Authorized OfficialJames Hedrick BradfordPresident · (704) 873-1180
Enumeration DateAugust 20, 2006
Last NPPES UpdateAugust 13, 2007
✔ NPI 1558476606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
738 BRYANT ST, Statesville, NC 28677
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Other Identifiers 5

OtherCD2252NC · Palmetto Gba Rr Medicare
Medicaid890265TNC
Other0265TNC · Bcbs
Other250919NC · Mamsi
Medicare ID-Type Unspecified2320414NC

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 7

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

DR. JAMES HEDRICK BRADFORD M.D.
Internal Medicine (Cardiovascular Disease)
738 BRYANT ST, SUITE A
STATESVILLE, NC 28677
Iredell County (704) 873-1180
IREDELL PHYSICIAN NETWORK, LLC
Internal Medicine
738 BRYANT ST
STATESVILLE, NC 28677
Iredell County (704) 230-4382
RUBY ANN GRIMM M.D.
Internal Medicine (Hematology & Oncology)
738 BRYANT ST
STATESVILLE, NC 28677
Iredell County (704) 873-2219
IREDELL PHYSICIAN NETWORK, LLC
Internal Medicine (Hematology & Oncology)
738 BRYANT ST
STATESVILLE, NC 28677
Iredell County (704) 873-2219
JOHN NICHOLSON MD
Internal Medicine
738 BRYANT ST
STATESVILLE, NC 28677
Iredell County (704) 230-4382
CHARLES A DEBERARDINIS DO
Internal Medicine (Cardiovascular Disease)
738 BRYANT ST, SUITE A
STATESVILLE, NC 28677
Iredell County (704) 873-1189
DR. NAIM EZZAT BOUHUSSEIN M.D.
Internal Medicine (Cardiovascular Disease)
738 BRYANT ST, SUITE A
STATESVILLE, NC 28677
Iredell County (704) 873-1180

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 Statesville Cardiovascular Clinic PA's NPI number?

The NPI number for Statesville Cardiovascular Clinic PA is 1558476606. It was assigned to this organization in the NPPES registry on August 20, 2006.

Where is Statesville Cardiovascular Clinic PA located?

Statesville Cardiovascular Clinic PA is located at 738 Bryant St Suite A, Statesville, NC 28677. The listed phone number is (704) 873-1180.

What is Statesville Cardiovascular Clinic PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Statesville Cardiovascular Clinic PA was last updated on August 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.