Provider Demographics
NPI:1467631564
Name:REGIONAL PHYSICIANS LLC
Entity Type:Organization
Organization Name:REGIONAL PHYSICIANS LLC
Other - Org Name:REGIONAL PHYSICIANS FAMILY MEDICINE ADAMS FARM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:BRYANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-878-6143
Mailing Address - Street 1:624 QUAKER LN
Mailing Address - Street 2:CSTE. 20
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-3832
Mailing Address - Country:US
Mailing Address - Phone:336-883-2500
Mailing Address - Fax:
Practice Address - Street 1:5710 W GATE CITY BLVD STE I
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27407
Practice Address - Country:US
Practice Address - Phone:336-781-4300
Practice Address - Fax:336-781-4301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-25
Last Update Date:2018-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0209YOtherBCBS
NC5908590Medicaid
NC5908590Medicaid
0209YOtherBCBS