Organization
RUTHERFORD EMERGENCY MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE BRADY (ADMINISTRATOR FOR GROUP)
(828) 277-7772
Entity
Organization
Contact information
Practice address
288 S RIDGECREST AVE, RUTHERFORDTON, NC 28139-2838
(843) 237-3378
(843) 237-5073
Mailing address
PO BOX 75358, CHARLOTTE, NC 28275-0358
(843) 237-3378
(843) 237-5073
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
N/A
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011R2
BLUE CROSS BLUE SHIELD
NC
05
—
89011R2
—
NC
01
—
CH4865
RAILROAD MEDICARE
NC
Enumeration date
07/13/2006
Last updated
03/16/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us