Mr David L Populus Jr, CPT in Burgaw, NC - Preventive Medicine

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.

Contact Information

	Mr David L Populus Jr, CPT
	1638 Hwy 53, Burgaw, NC 28425
	(910) 443-8351
	Not Available

Physician's Profile

Full Name	Mr David L Populus Jr
Gender	Male
Speciality	Preventive Medicine - Sports Medicine
Location	1638 Hwy 53, Burgaw, North Carolina
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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Mr David L Populus Jr, CPT - Preventive Medicine in Burgaw, NC