Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Adolfo Richard Desandre, MD

Individual provider Surgery Physician · NPI 1710963475

Adolfo Richard Desandre, MD is a General Surgery in Bolivia, North Carolina. Qualified in 1981, 45 years ago. Practices with Novant Health Medical Group, LLC, a 2,410-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina and South Carolina.

Years since qualifying
45
Licensed in
NC, SC
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

257 Hospital Dr Ste 200
Bolivia, NC 28422-8411
Phone: (910) 721-4000
Fax: (910) 721-4001
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 584 Hospital Dr, Bolivia, NC 28422 — (910) 721-4000

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 9801631 (NC)
Surgery Physician Taxonomy 208600000X · Licence 20712 (SC)

Record details

NPI number1710963475
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 15, 2005
Last updated in NPPESMay 11, 2023
Certification dateMay 1, 2023
Mailing addressPo Box 60447, Charlotte, NC 28260-0447

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 1981 (45 years in practice)
Group practice Novant Health Medical Group, Llc — 2410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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