Healthcare Provider Details

I. General information

NPI: 1689202715
Provider Name (Legal Business Name): RYAN MICHEL TRIMBLE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2020
Last Update Date: 01/13/2026
Certification Date: 01/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4515 PREMIER DR STE 403
HIGH POINT NC
27265-8356
US

IV. Provider business mailing address

4515 PREMIER DR STE 403
HIGH POINT NC
27265-8356
US

V. Phone/Fax

Practice location:
  • Phone: 336-802-2930
  • Fax: 336-802-2931
Mailing address:
  • Phone: 336-802-2930
  • Fax: 336-802-2931

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number2025-03971
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: