MEDICARE: JAMES C OSBORNE MD

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	207R00000X	Internal Medicine Physician	28431	NC
2	207RS0012X	Sleep Medicine (Internal Medicine) Physician	28431	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	64286	OTHER	NC	BCBS OF NC
2	28909	OTHER	NC	MEDCOST
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	1114	OTHER	NC	PARTNERS

General Provider Information

NPI Number	:	1922177013
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES C OSBORNE MD

Provider Business Mailing Address
First Line	:	PO BOX 14883
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27415-4883
Country	:	US
Telephone Number	:	336-274-3241
Fax Number	:	336-544-2343

Provider Business Practice Location Address
First Line	:	301 E WENDOVER AVE STE 200
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27401-1232
Country	:	US
Telephone Number	:	336-482-2309
Fax Number	:	336-268-3157

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

Provider Enumeration Date	:	11/06/2006
Last Update Date	:	04/13/2021

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Directions to “ JAMES C OSBORNE MD” Practice Location

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