Provider Demographics
NPI:1093759714
Name:NEWMAN, ALEXANDER NANCE (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:NANCE
Last Name:NEWMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 BENWELL COURT
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560
Mailing Address - Country:US
Mailing Address - Phone:919-462-1609
Mailing Address - Fax:
Practice Address - Street 1:300 ASHVILLE AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-8682
Practice Address - Country:US
Practice Address - Phone:919-851-3934
Practice Address - Fax:919-851-3608
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2015-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC36786207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC24601OtherCIGNA
NC011KEOtherBCBS
NC0155856OtherUNITED HEALTHCARE
NC4583478OtherAETNA
NCE77483Medicare UPIN
NC2213181BMedicare ID - Type Unspecified