Mr David L Populus Jr, CPT is a
Preventive Medicine - Sports Medicine physician based in Burgaw, North Carolina. Mr David L Populus Jr is licensed to practice in North Carolina (license number 877530) and his current practice location is 1638 Hwy 53, Burgaw, North Carolina. He can be reached at his office (for appointments etc.) via phone at
(910) 443-8351.
NPI number for Mr David L Populus Jr is 1255978912 and his current mailing address is Po Box 1727, Burgaw, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1255978912.
Physician's Profile
Full Name | Mr David L Populus Jr |
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Gender | Male |
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Speciality | Preventive Medicine - Sports Medicine |
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Location | 1638 Hwy 53, Burgaw, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1255978912
- Provider Enumeration Date: 12/02/2019
- Last Update Date: 01/17/2020
Medical Identifiers
Medical identifiers for Mr David L Populus Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255978912 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2083S0010X | Preventive Medicine - Sports Medicine | 877530 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr David L Populus Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr David L Populus Jr, CPT Po Box 1727, Burgaw, NC 28425-1727 Ph: (910) 443-8351 | Mr David L Populus Jr, CPT 1638 Hwy 53, Burgaw, NC 28425 Ph: (910) 443-8351 |
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