OrganizationActive
Shallotte Medical Center Inc
NPI 1992764211 · Family Medicine Physician · Bolivia, NC
Provider details
- NPI number
- 1992764211
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Bernard Langston, President(910) 754-8731
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 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
1 documented practice location
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
3875 Business Hwy 17 E
Bolivia, NC 28422
Phone: (910) 253-7990
Fax: (910) 253-7990
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 409
Bolivia, NC 28422
Other names (DBA / former)
- Doing business as
- Bolivia Medical Center
Registry dates
- Enumerated
- 2006-03-23
- Last updated
- 2008-02-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.