MEDICARE: DR. NORMAN SCOTT REGAL DPM

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	213E00000X	Podiatrist	255	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	33796	OTHER	NC	MEDCOST
2	08108	OTHER	NC	BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831294560
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NORMAN SCOTT REGAL DPM

Provider Business Mailing Address
First Line	:	2001 N CHURCH ST
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27405-5633
Country	:	US
Telephone Number	:	336-375-6990
Fax Number	:	336-375-0361

Provider Business Practice Location Address
First Line	:	2001 N CHURCH ST
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27405-5633
Country	:	US
Telephone Number	:	336-375-6990
Fax Number	:	336-375-0361

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

Provider Enumeration Date	:	09/14/2006
Last Update Date	:	03/08/2024

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