Provider Demographics
NPI:1629035548
Name:ADELMAN, JAMES U (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:U
Last Name:ADELMAN
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 1:1414 YANCEYVILLE STREET
Mailing Address - Street 2:FIRST FLOOR
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27405-6930
Mailing Address - Country:US
Mailing Address - Phone:336-574-8000
Mailing Address - Fax:336-574-8008
Practice Address - Street 1:1414 YANCEYVILLE STREET
Practice Address - Street 2:FIRST FLOOR
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27405-6930
Practice Address - Country:US
Practice Address - Phone:336-574-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2007-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC18306174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC10379OtherBCBSNC
NC8910379Medicaid
NC204379FMedicare ID - Type Unspecified
NC10379OtherBCBSNC