Organization
FAYETTEVILLE GASTROENTEROLOGY ENDOSCOPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM F VORDER BRUEGGE M.D, (OWNER)
(910) 323-5203
Entity
Organization
Contact information
Practice address
2041 VALLEYGATE DR, FAYETTEVILLE, NC 28304-3745
(910) 323-5203
(910) 323-3650
Mailing address
2041 VALLEYGATE DR, FAYETTEVILLE, NC 28304-3745
(910) 323-5203
(910) 323-3650
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q591940001
MEDICARE
NC
Enumeration date
01/28/2016
Last updated
04/14/2021
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