UNCP SPORTS MEDICINE
NPI 1639673155
Orthopaedic Surgery in Pembroke, NC

NPI Status: Active since March 20, 2018

Contact Information

1 UNIVERSITY RD
PEMBROKE, NC
ZIP 28372
Phone: (972) 367-4845

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  • Organization
  • Orthopaedic Surgery
  • Accepts Insurance

About UNCP SPORTS MEDICINE

This page provides the complete NPI Profile along with additional information for Uncp Sports Medicine, a provider established in Pembroke, North Carolina operating as a Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1639673155 assigned on March 2018. The practitioner's primary taxonomy code is 207X00000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. Uncp Sports Medicine operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Uncp Sports Medicine. The authorized official of this NPI record is Mouzon Bass Iii (Administrator)

NPI
1639673155
Provider Legal Name
UNIVERSITY OF NORTH CAROLINA AT PEMBROKE
Other Organization Name
UNCP SPORTS MEDICINE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1 UNIVERSITY RD PEMBROKE, NC 28372
Location Phone
(972) 367-4845
Mailing Address
5050 SPRING VALLEY RD DALLAS, TX 75244
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-20-2018
Last Update Date
03-20-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Orthopaedic Surgery

Taxonomy Code
207X00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Advantage Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Bronze Standard | Nationwide Doctors - PPO
  • Blue Advantage Gold Premier | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Gold Standard | Nationwide Doctors - PPO
  • Blue Advantage Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Silver Standard | Nationwide Doctors - PPO
  • Blue Care Bronze Standard | Statewide Doctors - HMO
  • Blue Care Gold Standard | Statewide Doctors - HMO
  • Blue Care Silver Standard | Statewide Doctors - HMO
  • Blue Value Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Limited Statewide Doctors - POS
  • Blue Value Bronze Complete | $60 PCP | $20 Tier 1 Rx | Limited Statewide Doctors - POS
  • Blue Value Bronze Standard | Limited Statewide Doctors - POS
  • Blue Value Gold Premier | 3 Free PCP | $10 Tier 1 Rx | Limited Statewide Doctors - POS
  • Blue Value Gold Standard | Limited Statewide Doctors - POS
  • Blue Value Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Limited Statewide Doctors - POS
  • Blue Value Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Limited Statewide Doctors - POS
  • Blue Value Silver Standard | Limited Statewide Doctors - POS
  • BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
  • BlueOptions Bronze 24J01-04 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - PPO
  • BlueOptions Bronze 24J01-06 ($0 Virtual PCP Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-17 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-18S (Multilingual Available / Rewards) - PPO
  • BlueOptions Gold 24J01-09 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - PPO
  • BlueOptions Gold 24J01-12 ($0 Virtual PCP Visits / $15 Labs / Rewards) - PPO
  • BlueOptions Gold 24J01-20S ($30 PCP Visits / Multilingual Available / Rewards) - PPO
  • BlueOptions Platinum 24J01-05 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-08 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-21S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - PPO
  • BlueOptions Silver 24J01-03 ($0 Virtual PCP Visits / $0 Labs / Rewards) - PPO
  • BlueOptions Silver 24J01-07 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
  • BlueOptions Silver 24J01-19S ($40 PCP Visits / Multilingual Available / Rewards) - PPO
  • BlueSelect Bronze (HSA) 1735 (Rewards / $4 Condition Care Rx) - EPO
  • BlueSelect Bronze 1449 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - EPO
  • BlueSelect Bronze 2139 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - EPO
  • BlueSelect Bronze 2139E ($0 Virtual PCP Visits / $50 PCP Visits / Adult Dental & Vision / Rewards) - EPO
  • BlueSelect Bronze 2139V ($0 Virtual PCP Visits / $50 PCP Visits / Adult Vision / Rewards) - EPO
  • BlueSelect Bronze 2342S ($50 PCP Visits / Multilingual Available / Rewards) - EPO
  • BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) - POS
  • BlueCare Bronze 24K01-03 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
  • BlueCare Bronze 24K01-05 ($0 Virtual PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K01-25 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K01-31S (Multilingual Available / Rewards) - POS
  • BlueCare Bronze 24K02-17 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
  • BlueCare Bronze 24K02-18 ($0 Virtual PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K02-23 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K02-26S (Multilingual Available / Rewards) - POS
  • BlueCare Gold 24K01-08 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - POS
  • BlueCare Gold 24K01-10 ($0 Virtual PCP Visits / $15 Labs / Rewards) - POS
  • BlueCare Gold 24K01-33S ($30 PCP Visits / Multilingual Available/ Rewards) - POS
  • BlueCare Gold 24K02-20 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - POS
  • BlueCare Gold 24K02-28S ($30 PCP Visits / Multilingual Available / Rewards) - POS
  • BlueCare Platinum 24K01-04 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - POS
  • BlueCare Platinum 24K01-07 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - POS
  • BlueCare Platinum 24K01-34S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - POS
  • BlueCare Platinum 24K02-15 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - POS
  • BlueCare Platinum 24K02-29S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - POS
  • BlueCare Silver 24K01-02 ($0 Virtual PCP Visits / $0 Labs / Rewards) - POS

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MOUZON BASS III

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(972) 367-4845

Reviews for UNCP SPORTS MEDICINE

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1639673155
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26691276110
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 1 + 2 + 7 + 6 + 1 + 1 + 0 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1639673155 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1841495413DR. GEORGE DEMARIS GRESSMAN III PSY.D.
Individual
Counselor (Professional)1 UNIVERSITY RD UNCP COUNSELING & TESTING CENTER
PEMBROKE, NC 28372
(910) 521-6202
1114332285 KELSEY LYNN FRASER LAT, ATC
Individual
Specialist/Technologist (Athletic Trainer)1 UNIVERSITY RD
PEMBROKE, NC 28372
(617) 275-1163
1447657499 JOSEPH TAMBURO MS, ATC, LAT, PES
Individual
Specialist/Technologist (Athletic Trainer)1 UNIVERSITY RD
PEMBROKE, NC 28372
(910) 775-4106
1770735078 CRYSTAL LYNN MOORE FNP
Individual
Nurse Practitioner (Family)1 UNIVERSITY RD STUDENT HEALTH SERVICES
PEMBROKE, NC 28372
(910) 521-6219
1639584857MRS. CHARLAMANE CARTER SUGGS M.A. ED., LPC, NCC
Individual
Counselor (Mental Health)1 UNIVERSITY RD
PEMBROKE, NC 28372
(910) 521-6202
1336593490 BEVERLY JUSTICE LAT, MA, ATC
Individual
Specialist/Technologist (Athletic Trainer)1 UNIVERSITY RD
PEMBROKE, NC 28372
(910) 521-6273
1144675752MRS. SUSAN CHRISTIAN EDKINS LAT, ATC
Individual
Specialist/Technologist (Athletic Trainer)1 UNIVERSITY RD HHP DEPT. UNC PEMBROKE
PEMBROKE, NC 28372
(910) 521-6480
1922507847 TARA K CHISHOLM
Individual
Specialist/Technologist (Athletic Trainer)1 UNIVERSITY RD
PEMBROKE, NC 28372
(910) 775-4121
1760982425MR. MICHAEL MUSSELWHITE MA, LAT, ATC
Individual
Specialist/Technologist (Athletic Trainer)1 UNIVERSITY RD
PEMBROKE, NC 28372
(910) 775-4100
1457851214 KATHERINE NICOLE YOUNKER
Individual
Specialist/Technologist (Athletic Trainer)1 UNIVERSITY RD
PEMBROKE, NC 28372
(910) 775-4121
1972012987 LAUREN WERNER ATC, LAT
Individual
1 UNIVERSITY RD
PEMBROKE, NC 28372
(920) 659-1746
1114550290 CARLOS MIGUEL RIVERA JR.
Individual
Specialist/Technologist (Athletic Trainer)1 UNIVERSITY RD
PEMBROKE, NC 28372
(910) 859-0732
1770119117 JOSEPH PEREZ
Individual
Specialist/Technologist (Athletic Trainer)1 UNIVERSITY RD
PEMBROKE, NC 28372
(239) 209-7890
1023646742 DEVAN TYLER PENNY ATS
Individual
Specialist/Technologist (Athletic Trainer)1 UNIVERSITY RD
PEMBROKE, NC 28372
(910) 918-6990
1629606348 LAKINDRA NIARA MCKNIGHT
Individual
Specialist/Technologist (Athletic Trainer)1 UNIVERSITY RD
PEMBROKE, NC 28372
(910) 521-6000
1134695968 GABRIELLE ROSE HOFMEISTER LAT, ATC
Individual
Specialist/Technologist (Athletic Trainer)1 UNIVERSITY RD
PEMBROKE, NC 28372
(910) 775-4106
1639818586 RANADA LYNN JONES-BARSH
Individual
Social Worker (Clinical)1 UNIVERSITY RD
PEMBROKE, NC 28372
(910) 234-1800
1659010403MRS. SWALANDA A MORRIS
Individual
Counselor (Mental Health)1 UNIVERSITY RD
PEMBROKE, NC 28372
(910) 521-6000
1043949332 AMY MCDONALD
Individual
Student in an Organized Health Care Education/Training Program1 UNIVERSITY RD
PEMBROKE, NC 28372
(910) 964-1857
1154052249 JORDAN JONES
Individual
Counselor (School)1 UNIVERSITY RD
PEMBROKE, NC 28372
(910) 374-4479

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639673155, enumerated in the NPI registry as an "organization" on March 20, 2018

The provider is located at 1 University Rd Pembroke, Nc 28372 and the phone number is (972) 367-4845

This medical organization specializes in Orthopaedic Surgery with taxonomy code 207X00000X

The provider might be accepting Accepts: Blue Cross and Blue Shield of NC, Florida Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on March 20, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.