IndividualActive
Edwin Fuentes, D.O.
NPI 1053360966 · Family Medicine Physician · Reidsville, NC
Edwin Fuentes, D.O. is a Family Medicine Physician provider in Reidsville, NC (NPI 1053360966).
Provider details
- NPI number
- 1053360966
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 0102050134 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(95/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2509 Richardson Dr Ste a
Reidsville, NC 27320-5926
Phone: (336) 552-4274
Street-level locationGet directions
Mailing address
109 Deer Run Rd
Danville, VA 24540-2863
Additional practice locations (1)
- 109 Deer Run RdDanville, VA 24540-2863Phone: (434) 791-0306Fax: (434) 791-0310
Registry dates
- Enumerated
- 2006-05-08
- Last updated
- 2023-07-25
- Certified
- 2023-04-14
Frequently asked questions
- What is Edwin Fuentes's NPI number?
- Edwin Fuentes's National Provider Identifier (NPI) is 1053360966, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Edwin Fuentes's specialty?
- Edwin Fuentes is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Edwin Fuentes located?
- Edwin Fuentes's practice location on file with NPPES is 2509 Richardson Dr Ste a, Reidsville, NC 27320-5926.
- What is Edwin Fuentes's phone number?
- The practice phone number listed in the NPPES registry for Edwin Fuentes is (336) 552-4274.
- Is Edwin Fuentes's NPI active?
- Yes — Edwin Fuentes's NPI (1053360966) is active in the NPPES registry as of the last update on 2023-07-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.