MR. STEPHEN BRADLEY POTTS (NPI# 1851371116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851371116 |
| Entity Type | Individual |
| Full Name | MR. STEPHEN BRADLEY POTTS |
| Credential | MD |
| Practice Address |
110 Charlois Blvd Winston Salem NC 27103-1522 |
| Practice Telephone | 3367683361 |
| Practice Fax Number | 3367684131 |
| Mailing Telephone | 3367683361 |
| Mailing Fax Number | 3367684131 |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2012-02-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 9300398 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BLUE CROSS BLUE SHIELD | 68525 | 01 |
| NC | 8968525 | 05 | |
| VA | VIRGINIA MEDICAID | 6502369 | 01 |
| NC | UNITED HEALTHCARE | 1000274 | 01 |
| NC | RAILROAD MEDICARE | 040014483 | 01 |
| NC | PARTNERS | 12999 | 01 |
| NC | MEDCOST | 63350 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407485915 | Stephen Dean Potts | Pharmacist | 1116 W Main St, Fairfield, IL 62837-2324 | 2020-04-06 |
| Street Address |
110 CHARLOIS BLVD |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27103-1522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073593943 | Ronald Bernard Shealy | Otolaryngology | 110 Charlois Blvd, Winston Salem, NC 27103-1522 | 2006-01-18 |
| 1124687595 | Paige Heeke | Audiologist | 110 Charlois Blvd, Winston Salem, NC 27103-1522 | 2019-06-10 |
| 1497994966 | Hannah Grace Clarke | Dietitian, Registered | 110 Charlois Blvd, Winston Salem, NC 27103-1522 | 2009-02-06 |
| 1679718134 | Sheila J Gray | Audiologist | 110 Charlois Blvd, Winston Salem, NC 27103-1522 | 2008-12-11 |
| 1568633550 | Sarah Danielle Hill | Audiologist | 110 Charlois Blvd, Winston Salem, NC 27103-1522 | 2008-03-18 |
| 1184895179 | Amanda Adams Ary | Audiologist | 110 Charlois Blvd, Winston Salem, NC 27103-1522 | 2008-03-18 |
| 1861663866 | Kimberly Caldwell Hobson | Audiologist | 110 Charlois Blvd, Winston Salem, NC 27103-1522 | 2008-03-18 |
| 1356512362 | Sharon Dawson Malanowski | Audiologist | 110 Charlois Blvd, Winston Salem, NC 27103-1522 | 2008-03-18 |
| 1811168784 | Linda Vanfossen | Audiologist | 110 Charlois Blvd, Winston Salem, NC 27103-1522 | 2008-03-18 |
| 1386815363 | Nicole Bare Satterwhite | Audiologist | 110 Charlois Blvd, Winston Salem, NC 27103-1522 | 2008-03-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
| 1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
| 1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
| 1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
| 1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
| 1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
| 1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
| 1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
| 1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
| 1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
| Find all providers in zip 27103 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891112389 | Marshall Snow | Otolaryngology | 109 Piedmont Ave, Winston Salem, NC 27101-3607 | 2014-03-24 |
| 1427360627 | Eleanor Pitz Kiell | Otolaryngology | Medical Center Blvd Dept of Otolaryngology, Winston Salem, NC 27157-4319 | 2010-07-06 |
| 1942328463 | William Madison Satterwhite Jr. | Otolaryngology | 2135 New Walkertown Rd, Winston Salem, NC 27101-3420 | 2007-03-26 |
| 1073593943 | Ronald Bernard Shealy | Otolaryngology | 110 Charlois Blvd, Winston Salem, NC 27103-1522 | 2006-01-18 |
| 1184100901 | Kevin James Shefferly | Otolaryngology | 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2018-07-15 |
| 1801184437 | Hafiz Patwa | Otolaryngology | 131 Miller St, Winston Salem, NC 27103-2508 | 2011-07-18 |
| 1609194802 | Stuart David Ginn I | Otolaryngology | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2010-05-12 |
| 1538486196 | Michele Marie Gandolfi | Otolaryngology | Medical Center Blvd, Winston Salem, NC 27157-4201 | 2010-04-22 |
| 1104151919 | Lyndsay Leigh Madden | Otolaryngology | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2009-10-12 |
| 1235394909 | David Henao | Otolaryngology | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2008-07-22 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27103 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.