MEDICARE: DR. MICHAEL DEVON BATES 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	207X00000X	Orthopaedic Surgery Physician	156758	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	0397730028	OTHER	NC	NSC #

General Provider Information

NPI Number	:	1366676454
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL DEVON BATES MD

Provider Business Mailing Address
First Line	:	4601 PARK RD STE 300
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28209-2290
Country	:	US
Telephone Number	:	704-323-2000
Fax Number	:

Provider Business Practice Location Address
First Line	:	ORTHOCAROLINA
Second Line	:	9848 NORTH TRYON STREET
City	:	CHARLOTTE
State	:	NC
Zip	:	28262-2826
Country	:	US
Telephone Number	:	704-323-2000
Fax Number	:

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

Provider Enumeration Date	:	05/05/2009
Last Update Date	:	01/10/2018

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