IREDELL PHYSICIAN NETWORK LLC
NPI 1770729238
Specialist in Statesville, NC

Active since January 05, 2009
557 BROOKDALE DR, STATESVILLE, NC 28677(704) 878-4500 Get Directions Write a Review

NPPES record last updated: January 5, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Iredell Physician Network Llc NPPES

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

IREDELL PHYSICIAN NETWORK LLC (NPI 1770729238) is a healthcare organization registered as a specialist in Statesville, North Carolina and active in the NPI registry since January 2009. The organization lists Kevin Deter, Vice President, as its authorized official.

NPPES Registry Identity

NPI1770729238
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameIREDELL PHYSICIAN NETWORK LLC
Location Address557 BROOKDALE DRStatesville, NC 28677-4107
Mailing Address557 Brookdale DrStatesville, NC 28677-4107 · (704) 878-4500
Organization SubpartNo
Authorized OfficialKevin DeterVice President · (704) 878-4500
Enumeration DateJanuary 5, 2009
NPI 1770729238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
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.
557 BROOKDALE DR, Statesville, NC 28677

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 20

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

Specialist
557 BROOKDALE DR
STATESVILLE, NC 28677
Physical Therapist
557 BROOKDALE DR
STATESVILLE, NC 28677
Nurse Practitioner (Adult Health)
557 BROOKDALE DR
STATESVILLE, NC 28677
Nurse Anesthetist, Certified Registered
557 BROOKDALE DR
STATESVILLE, NC 28677
Nurse Anesthetist, Certified Registered
557 BROOKDALE DR
STATESVILLE, NC 28677
Specialist
557 BROOKDALE DR
STATESVILLE, NC 28677
Nurse Anesthetist, Certified Registered
557 BROOKDALE DR
STATESVILLE, NC 28677
Nurse Anesthetist, Certified Registered
557 BROOKDALE DR
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 Iredell Physician Network LLC's NPI number?

The NPI number for Iredell Physician Network LLC is 1770729238. It was assigned to this organization in the NPPES registry on January 5, 2009.

Where is Iredell Physician Network LLC located?

Iredell Physician Network LLC is located at 557 Brookdale Dr, Statesville, NC 28677. The listed phone number is (704) 878-4500.

What is Iredell Physician Network LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Iredell Physician Network LLC was last updated on January 5, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.