Provider Demographics
NPI:1245235951
Name:DROTTS, DANIEL LOWELL (MD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:LOWELL
Last Name:DROTTS
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 1:2604 MEDICAL OFFICE PL
Mailing Address - Street 2:
Mailing Address - City:GOLDSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27534-9417
Mailing Address - Country:US
Mailing Address - Phone:919-580-0004
Mailing Address - Fax:919-580-9099
Practice Address - Street 1:2604 MEDICAL OFFICE PL
Practice Address - Street 2:
Practice Address - City:GOLDSBORO
Practice Address - State:NC
Practice Address - Zip Code:27534-9417
Practice Address - Country:US
Practice Address - Phone:919-580-0004
Practice Address - Fax:919-580-9099
Is Sole Proprietor?:No
Enumeration Date:2005-06-17
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200100138207P00000X, 207PE0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
1245235951OtherNPI
128VKOtherBLUE CROSS BLUE SHIELD
NC89128VKMedicaid
NC200100138OtherMEDICAL LICENSE
2326720Medicare UPIN
2284288Medicare PIN
NC89128VKMedicaid
1245235951OtherNPI