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NPI Code Detail

MEDICARE: DONALD W BALES MD

MEDICARE: DONALD W BALES 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
1207R00000XInternal Medicine Physician28943NC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
5110095556OTHERNCRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
17551784OTHERNCCIGNA HEALTHCARE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
312871OTHERNCBCBSNC
420553OTHERNCMEDCOST

General Provider Information

NPI Number : 1588658504
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONALD W BALES MD
Provider Business Mailing Address
First Line : PO BOX 7200
Second Line :
City : ROCKY MOUNT
State : NC
Zip : 27804-0200
Country : US
Telephone Number : 252-937-0200
Fax Number : 252-451-0056
Provider Business Practice Location Address
First Line : 91 ENTERPRISE DR
Second Line :
City : ROCKY MOUNT
State : NC
Zip : 27804-9590
Country : US
Telephone Number : 252-937-0235
Fax Number : 252-937-3103
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2005
Last Update Date : 03/05/2019

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Directions to “ DONALD W BALES MD” Practice Location

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