MEDICARE: DR. GREGORY DAVID BIANCHI 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
1	208800000X	Urology Physician	2006-00280	NC

Other Identifiers

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

General Provider Information

NPI Number	:	1235132168
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GREGORY DAVID BIANCHI MD

Provider Business Mailing Address
First Line	:	2143 PHYSICIANS OFFICE BLDG
Second Line	:	CAMPUS BOX 7235
City	:	CHAPEL HILL
State	:	NC
Zip	:	27599-0001
Country	:	US
Telephone Number	:	919-966-2574
Fax Number	:	919-966-0098

Provider Business Practice Location Address
First Line	:	2143 PHYSICIANS OFFICE BLDG
Second Line	:	CAMPUS BOX 7235
City	:	CHAPEL HILL
State	:	NC
Zip	:	27599-0001
Country	:	US
Telephone Number	:	919-966-2574
Fax Number	:	919-966-0098

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	03/06/2013

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