=====================================================
General NPI Number Information
=====================================================
NPI Number | 1033162201
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | BERTRAND STEVENS DUNCAN M.D.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/18/2006
-----------------------------------------------------
Last Update Date | 10/19/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 100 TER HEUN DR FALMOUTH HOSPITAL
-----------------------------------------------------
City | FALMOUTH
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02540
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 508-548-5300
-----------------------------------------------------
Fax | 508-457-3955
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7 WIDOW COOMBS WALK
-----------------------------------------------------
City | SANDWICH
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02563-2787
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 508-737-2676
-----------------------------------------------------
Fax | 508-548-5789
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207X00000X
-----------------------------------------------------
Taxonomy Name | Orthopaedic Surgery Physician
-----------------------------------------------------
License Number | 38451
-----------------------------------------------------
License Number State | MA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 208600000X
-----------------------------------------------------
Taxonomy Name | Surgery Physician
-----------------------------------------------------
License Number | 38451
-----------------------------------------------------
License Number State | MA
-----------------------------------------------------