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NPI Code Detail

MEDICARE: MR. RICHARD SCOTT BAHNER MD

MEDICARE:  MR. RICHARD SCOTT BAHNER  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician9701690NC
2207XS0106XOrthopaedic Hand Surgery Physician9710690NC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P01048082OTHERRR MEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1407812068
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RICHARD SCOTT BAHNER MD
Provider Business Mailing Address
First Line : 2716 ASHTON DR
Second Line :
City : WILMINGTON
State : NC
Zip : 28412-2489
Country : US
Telephone Number : 910-332-3800
Fax Number : 910-763-8804
Provider Business Practice Location Address
First Line : 3787 SHIPYARD BLVD
Second Line :
City : WILMINGTON
State : NC
Zip : 28403-6148
Country : US
Telephone Number : 910-332-3800
Fax Number : 910-763-8804
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2006
Last Update Date : 03/16/2022

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Directions to “ MR. RICHARD SCOTT BAHNER MD” Practice Location

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