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NPI Code Detail

MEDICARE: BARBARA A BERGDOLT MD

MEDICARE: BARBARA A BERGDOLT 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
1208000000XPediatrics Physician0097-00021NC

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 : 1558459719
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARBARA A BERGDOLT MD
Provider Business Mailing Address
First Line : 2000 PERIMETER PARK DR STE 200
Second Line :
City : MORRISVILLE
State : NC
Zip : 27560-8442
Country : US
Telephone Number : 984-215-4110
Fax Number :
Provider Business Practice Location Address
First Line : 118 KNOX WAY
Second Line :
City : CHAPEL HILL
State : NC
Zip : 27516-6610
Country : US
Telephone Number : 984-215-5900
Fax Number : 984-215-5942
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2006
Last Update Date : 05/06/2021

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Directions to “ BARBARA A BERGDOLT MD” Practice Location

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