Healthcare Provider Details

I. General information

NPI: 1043125479
Provider Name (Legal Business Name): MEDICAL BARIATRICS, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16147 LANCASTER HWY STE 120
CHARLOTTE NC
28277-2051
US

IV. Provider business mailing address

16147 LANCASTER HWY STE 120
CHARLOTTE NC
28277-2051
US

V. Phone/Fax

Practice location:
  • Phone: 704-243-7106
  • Fax:
Mailing address:
  • Phone: 704-243-7106
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID CROLAND
Title or Position: PRESIDENT
Credential: DO
Phone: 704-243-7106