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

Dr. Theodore Bergen Manny Jr., MD

Individual provider Urology Physician · NPI 1871773143

Dr. Theodore Bergen Manny Jr., MD is an Urology in Greensboro, North Carolina. Qualified in 2007, 19 years ago. Practices with Piedmont Stone Center PLLC, a 71-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
19
Licensed in
NC
In the registry since
2007
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

509 N Elam Ave Fl 2
Greensboro, NC 27403-1157
Phone: (336) 274-1114
Fax: (336) 274-9638
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 2012-00902 (NC)

Record details

NPI number1871773143
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 5, 2007
Last updated in NPPESJune 25, 2013

Medicare enrollment

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

Medicare specialtyUROLOGY
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Piedmont Stone Center Pllc — 71 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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