MEDICARE: RYAN MICHEL TRIMBLE 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	207RN0300X	Nephrology Physician	2025-03971	NC
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1689202715
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RYAN MICHEL TRIMBLE MD

Provider Business Mailing Address
First Line	:	4515 PREMIER DR STE 403
Second Line	:
City	:	HIGH POINT
State	:	NC
Zip	:	27265-8356
Country	:	US
Telephone Number	:	336-802-2930
Fax Number	:	336-802-2931

Provider Business Practice Location Address
First Line	:	4515 PREMIER DR STE 403
Second Line	:
City	:	HIGH POINT
State	:	NC
Zip	:	27265-8356
Country	:	US
Telephone Number	:	336-802-2930
Fax Number	:	336-802-2931

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

Provider Enumeration Date	:	04/01/2020
Last Update Date	:	01/13/2026

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