Randall Stephan Conrad
Internist
Medical Center Blvd
Winston Salem
, North Carolina 27157-0001
(336) 716-4305
Write a Review Share Save Call
About
Features
Language(s) Spoken
English
Ethnic Identity
White / Caucasian
Specialties
- Internist
Languages spoken
- English
Location
First Address
- Randall Stephan Conrad
- Medical Center Blvd
- Winston Salem, NC
- Zip : 27157-0001
- Phone : (336) 716-4305
Second Address
- Randall Stephan Conrad
- Medical Center Blvd
- Winston Salem, NC
- Zip : 27157-0001
- Phone : (336) 716-4305
Reviews
FAQs
Where did Randall Stephan Conrad attend graduate school?
Provider has not completed his profile. If you are Randall Stephan Conrad, click here to claim your profile
Where did Randall Stephan Conrad do his residency?
Provider has not completed his profile. If you are Randall Stephan Conrad, click here to claim your profile
Where did Randall Stephan Conrad do his fellowship?
Provider has not completed his profile. If you are Randall Stephan Conrad, click here to claim your profile
Is Randall Stephan Conrad board certified?
Provider has not completed his profile. If you are Randall Stephan Conrad, click here to claim your profile
What type of doctor is Randall Stephan Conrad
Internist
In what state does Randall Stephan Conrad practice in?
North Carolina
Where is Randall Stephan Conrad ’s practice located?
Medical Center Blvd , Winston Salem, North Carolina, 27157-0001
What is Randall Stephan Conrad ’s gender?
Male
Is Randall Stephan Conrad a sole practitioner?
No
Is Randall Stephan Conrad accepting new patients?
Provider has not completed his profile. If you are Randall Stephan Conrad, click here to claim your profile
What languages does Randall Stephan Conrad speak?
Provider has not completed his profile. If you are Randall Stephan Conrad, click here to claim your profile
Does Randall Stephan Conrad accept insurance?
Yes, Randall Stephan Conrad accepts insurance
Does Randall Stephan Conrad offers telemedicine?
Randall Stephan Conrad has not indicated if he offers telemedicine
What is Randall Stephan Conrad ’s professional license number?
Provider has not completed his profile. If you are Randall Stephan Conrad, click here to claim your profile
What is Randall Stephan Conrad ’s NPI number?
1003279514
Does Randall Stephan Conrad have any license restrictions?
Provider has not completed his profile. If you are Randall Stephan Conrad, click here to claim your profile
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207R00000X | Internist | 2019-00177 | NC |
| Y | 111NI0900X | Internist | 2019-00177 | NC |
National Provider Identifier
| NPI | 1003279514 |
|---|---|
| Provider Name | Randall Stephan Conrad |
| First Address | Winston Salem, NC 27157-0001 |
| Second Address | Winston Salem, NC 27157-0001 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/04/2016 |
| Last Update Date | 17/06/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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)
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?
Subparts are the components and separate physical locations of organization health care providers.
Subpart examples include: Hospital components include outpatient departments, surgical centers,
psychiatric units, and laboratories. These components are often separately licensed or certified by
States and may exist at physical locations other than that of the hospital of which they are a
component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if
an individual) or other name by which the organization provider is or has been known. The code
identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date
The date that a NPI record was last updated or changed
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the PI application or to officially change data for a health care provider.