Ki-bong Um, MD is a 
General Practice physician based in Robersonville, North Carolina. Ki-bong Um is licensed to practice in North Carolina (license number 25751) and his current practice location is 501 N Main St, Robersonville, North Carolina. He can be reached at his office (for appointments etc.) via phone at 
(252) 795-4192.
NPI number for Ki-bong Um is 1336195692 and his current mailing address is 501 N Main St, Po Box 625, Robersonville, North Carolina. He 
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1336195692.
			
			
			
			
			
		 
		
		 
Physician's Profile
		
			
			
			| Full Name | Ki-bong Um | 
|---|
| Gender | Male | 
|---|
| Speciality | General Practice | 
|---|
| Location | 501 N Main St, Robersonville, North Carolina | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
			
			 
			
						  NPI Data:
			
			- NPI Number: 1336195692
 - Provider Enumeration Date: 05/26/2006
 - Last Update Date: 11/30/2009
 			
			
			 
		 
		 
Medical Identifiers
		Medical identifiers for Ki-bong Um such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
		| 1336195692 | NPI | - | NPPES | 
| 84530 | Other | NC | BC | 
| 8984530 | Medicaid | NC |  | 
| 20503 | Other | NC | CIGNA | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
		| 208D00000X | General Practice  | 25751 (North Carolina) | Primary | 
		
		
			
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ki-bong Um is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
		Ki-bong Um, MD 501 N Main St, Po Box 625, Robersonville, NC 27871-9567 Ph: (252) 795-4192 | Ki-bong Um, MD 501 N Main St, Robersonville, NC 27871-9567 Ph: (252) 795-4192 | 
		
		 
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