Active NPIIndividual provider

Bohdan W Kopynec, MD

Family Medicine in Ellerbe, North Carolina

NPI Number1184619355
Practice location
112 E Ballard St, Ellerbe, NC 28338-9730
Fax
910-652-3150
Last updated
October 22, 2014

Bohdan William Kopynec is a Family Medicine based in Ellerbe, NC. Bohdan William Kopynec practices in Ellerbe, NC and has the professional credentials of MD. The NPI Number for Bohdan William Kopynec is 1184619355 and holds a License No. 9901427 (NC). The current practice location address for Bohdan William Kopynec is 112 E Ballard St, Ellerbe, NC 28338-9730 and can be reached out via phone at 910-652-2633 and via fax at 910-652-3150.

Provider Profile Details

NPI Number
1184619355
Provider Name
Bohdan William Kopynec
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
112 E Ballard St, Ellerbe, NC 28338-9730
Phone Number
910-652-2633
Fax Number
910-652-3150
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
September 14, 2005
Last Update Date
October 22, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
112 E Ballard St
Ellerbe, NC 28338-9730
Zip
28338-9730
Phone Number
910-652-2633
Fax Number
910-652-3150
Ellerbe, NC 28338Get directions →

Provider Business Mailing Address Details

Address
Po Box 843013
Boston, MA 02284-3013
City
Boston
State
MA
Zip
02284-3013
Phone Number
910-652-2663
Fax Number
910-652-3150

License Information

License Number
9901427
License State
NC
Taxonomy
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Bohdan W Kopynec, MD?

The NPI number of Bohdan W Kopynec, MD is 1184619355. It was assigned on September 14, 2005 and is currently active in the NPPES registry.

What is the specialty of Bohdan W Kopynec, MD?

Bohdan W Kopynec, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NC under license number 9901427.

Where does Bohdan W Kopynec, MD practice?

The practice location is 112 E Ballard St, Ellerbe, NC 28338-9730. The office can be reached at 910-652-2633 (phone) or 910-652-3150 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1184619355 directly on the NPPES registry website.

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