Healthcare Provider Details

I. General information

NPI: 1629463070
Provider Name (Legal Business Name): ARNOLD JUSTIN SILVERBERG M.D. (AS OF 5/8/15)
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2015
Last Update Date: 10/04/2022
Certification Date: 10/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

581 LEROY GEORGE DR STE 300
CLYDE NC
28721-8085
US

IV. Provider business mailing address

581 LEROY GEORGE DR STE 300
CLYDE NC
28721-8085
US

V. Phone/Fax

Practice location:
  • Phone: 828-452-4131
  • Fax: 828-452-4095
Mailing address:
  • Phone: 828-452-4131
  • Fax: 828-452-4095

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberME145310
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number2021-00371
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: