Dr. Simon Prendiville
Gastroenterologist
2015 Randolph Road Suite 208
Charlotte
, North Carolina 28207-1200
Dr. Simon Prendiville
Gastroenterologist
2015 Randolph Road Suite 208
Charlotte
, North Carolina 28207-1200
(704) 377-4009
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About
Features
Specialties
- Gastroenterologist
Languages spoken
- English
Location
First Address
- Dr. Simon Prendiville
- 13808 Professional Center Dr
- Huntersville, NC
- Zip : 28078-7948
- Phone : (704) 377-4009
Second Address
- Dr. Simon Prendiville
- 2015 Randolph Road Suite 208
- Charlotte, NC
- Zip : 28207-1200
- Phone : (704) 377-4009
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0100X | Gastroenterologist | 200300278 | NC |
National Provider Identifier
| NPI | 1023076353 |
|---|---|
| Provider Name | Dr. Simon Prendiville |
| First Address | Huntersville, NC 28078-7948 |
| Second Address | Charlotte, NC 28207-1200 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/05/2006 |
| Last Update Date | 01/09/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| H83701 | (02) | NC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.