MEDICARE: DR. ALEXANDER KENDRICK POWERS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207T00000X	Neurological Surgery Physician	109627	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134397714
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALEXANDER KENDRICK POWERS M.D.

Provider Business Mailing Address
First Line	:	280 BROAD ST STE A
Second Line	:
City	:	KERNERSVILLE
State	:	NC
Zip	:	27284-2948
Country	:	US
Telephone Number	:	336-761-4020
Fax Number	:	336-761-4051

Provider Business Practice Location Address
First Line	:	280 BROAD ST STE A
Second Line	:
City	:	KERNERSVILLE
State	:	NC
Zip	:	27284-2948
Country	:	US
Telephone Number	:	336-761-4020
Fax Number	:	336-761-4051

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/15/2008
Last Update Date	:	02/16/2023

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