INDEPENDENCE MEDICAL, PA
NPI 1700845112
Family Medicine - Geriatric Medicine in Smithfield, NC

NPI Status: Active since March 23, 2006

Contact Information

515 BARBOUR RD
SMITHFIELD, NC
ZIP 27577
Phone: (919) 544-4747
Fax: (919) 544-0104

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  • Organization
  • Family Medicine
  • Geriatric Medicine

About INDEPENDENCE MEDICAL, PA

This page provides the complete NPI Profile along with additional information for Independence Medical, Pa, a primary care provider established in Smithfield, North Carolina operating as a Family Medicine, focusing in geriatric medicine . The healthcare provider is registered in the NPI registry with number 1700845112 assigned on March 2006. The practitioner's primary taxonomy code is 207QG0300X with license number 36493 (NC). The provider is registered as an organization and their NPI record was last updated 12 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Bernard L Bennett M.d. (President)

NPI
1700845112
Provider Name
INDEPENDENCE MEDICAL, PA
Entity Type
Organization
Location Address
515 BARBOUR RD SMITHFIELD, NC 27577
Location Phone
(919) 544-4747
Location Fax
(919) 544-0104
Mailing Address
1209 FALLS BRIDGE DR RALEIGH, NC 27614
Mailing Phone
(919) 544-4747
Mailing Fax
(919) 544-0104
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-23-2006
Last Update Date
10-31-2013
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A primary care provider (PCP) like Independence Medical, Pa sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

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

Family Medicine Geriatric Medicine

Taxonomy Code
207QG0300X
Type
Allopathic & Osteopathic Physicians
License No.
36493
License State
NC
Taxonomy Description
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

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

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*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

BERNARD L BENNETT M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(919) 622-8272

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
P00062870OTHER (01)NCMEDICARE RAILROAD
DA5493OTHER (01)NCMEDICARE RAILROAD
1028PMEDICAID (05)NC 
891028PMEDICAID (05)NC 
2333119MEDICARE PIN (08)NC 

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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.
1700845112
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27001641012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 0 + 0 + 1 + 6 + 4 + 1 + 0 + 1 + 2 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 22

The NPI number 1700845112 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 12 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1194933374MS. DEBORAH ANN GEIB LPTA
Individual
Physical Therapy Assistant515 BARBOUR RD
SMITHFIELD, NC 27577
(919) 934-6017
1912194341BRITTHAVEN, INC.
Organization
Nursing Facility/Intermediate Care Facility515 BARBOUR RD
SMITHFIELD, NC 27577
(919) 934-6017
1376708842MRS. SARA JAMES LAYMAN COTA
Individual
Occupational Therapy Assistant515 BARBOUR RD
SMITHFIELD, NC 27577
(919) 934-5419
1982860847MRS. CARMELA ANDRADA ESLABON P.T.
Individual
Physical Therapist (Geriatrics)515 BARBOUR RD
SMITHFIELD, NC 27577
(919) 934-5419
1598003162DOWNING PSYCHOLOGICAL PA
Organization
Psychologist (Clinical)515 BARBOUR RD
SMITHFIELD, NC 27577
(919) 934-6017
1184882094INDEPENDENCE HEALTH PA
Organization
Internal Medicine (Geriatric Medicine)515 BARBOUR RD
SMITHFIELD, NC 27577
(919) 934-6017
1871790139CONTINUUM II HOME HEALTH & HOSPICE, INC.
Organization
Home Health515 BARBOUR RD
SMITHFIELD, NC 27577
(919) 934-6017
1225064777BIRCH LTC GROUP, LLC
Organization
Skilled Nursing Facility515 BARBOUR RD
SMITHFIELD, NC 27577
(919) 934-6017
1972007581 ASHAN THOMAS HATHARASINGHE
Individual
Internal Medicine515 BARBOUR RD
SMITHFIELD, NC 27577
(919) 934-6017
1922727759 MAKALEA BJOIN
Individual
Speech-Language Pathologist515 BARBOUR RD
SMITHFIELD, NC 27577
(919) 934-6017
1992974901 MARS F DAVIS PA-C
Individual
Physician Assistant515 BARBOUR RD
SMITHFIELD, NC 27577
(919) 602-2065
1912767278 ABIGAIL DOWDY
Individual
Speech-Language Pathologist515 BARBOUR RD
SMITHFIELD, NC 27577
(919) 934-6017

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700845112, enumerated in the NPI registry as an "organization" on March 23, 2006

The provider is located at 515 Barbour Rd Smithfield, Nc 27577 and the phone number is (919) 544-4747

This medical organization specializes in Family Medicine with taxonomy code 207QG0300X with a focus in Geriatric Medicine

The provider might be accepting Accepts: Railroad Medicare, Medicare and Medicaid. 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 23, 2006. 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].
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