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

Walter Azubuike Ezeigbo, MD

Individual provider Family Medicine Physician · NPI 1306839659

Walter Azubuike Ezeigbo, MD is a Family Practice in Winston Salem, North Carolina. Graduated from Eastern Virginia Medical School in 1992, 34 years ago. Accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
34
Trained at
Eastern Virginia Medical School
Licensed in
NC
In the registry since
2005
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

1000 Southpark Blvd Ste A
Winston Salem, NC 27127-5072
Phone: (336) 788-4545
Fax: (336) 788-4556
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 9601605 (NC)

Record details

NPI number1306839659
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 23, 2005
Last updated in NPPESFebruary 19, 2013

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Also practisesSPORTS MEDICINE
Medical schoolEASTERN VIRGINIA MEDICAL SCHOOL
Graduated 1992 (34 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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