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

Austin Michael Anzivino, DO

Individual provider Obstetrics & Gynecology Physician · NPI 1972185775

Austin Michael Anzivino, DO is an Obstetrics/Gynecology in Bolivia, North Carolina. Qualified in 2021, 5 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.

Years since qualifying
5
Licensed in
NC
In the registry since
2021
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

584 Hospital Dr NE Unit B
Bolivia, NC 28422-0020
Phone: (910) 721-4050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 254 Easton Ave, New Brunswick, NJ 08901-1766 — (732) 565-5415

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 2025-02184 (NC)

Record details

NPI number1972185775
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 22, 2021
Last updated in NPPESOctober 21, 2025
Certification dateOctober 21, 2025
Mailing address5178 Rutgers Dr, Omro, WI 54963-8503

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 2021 (5 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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