Healthcare Provider Details

I. General information

NPI: 1578396297
Provider Name (Legal Business Name): JOSHUA ALAN TROXELL PHYSICIAN ASSISTANT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2024
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

960 NEWMAN RD
NEW BERN NC
28562-5200
US

IV. Provider business mailing address

285 PINTAIL DR
MINNESOTT BEACH NC
28510-5003
US

V. Phone/Fax

Practice location:
  • Phone: 252-633-6730
  • Fax: 252-633-6740
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number0010-14474
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number0010-14474
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: