MEDICARE: TIMOTHY B. HART 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	207RP1001X	Pulmonary Disease Physician	27690	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	30621	OTHER	NC	PARTNERS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	562098458	OTHER	NC	TAX ID#
4	40267	OTHER	NC	BLUE CROSS BLUE SHIELD
5	4855783	OTHER	NC	UNITED HEALTHCARE
6	8263211005	OTHER	NC	CIGNA
7	92482	OTHER	NC	MEDCOST
8	RAILROAD MEDICARE	OTHER		290012528

General Provider Information

NPI Number	:	1952355257
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIMOTHY B. HART MD

Provider Business Mailing Address
First Line	:	PO BOX 63362
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28263-3362
Country	:	US
Telephone Number	:	919-684-8111
Fax Number	:

Provider Business Practice Location Address
First Line	:	40 DUKE MEDICINE CIR
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27710-4000
Country	:	US
Telephone Number	:	919-684-8111
Fax Number	:

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

Provider Enumeration Date	:	05/20/2006
Last Update Date	:	05/06/2014

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Directions to “ TIMOTHY B. HART MD” Practice Location

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