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D R BLAND MD PA NPI 1003895889


NPI Information

NPI: 1003895889
Provider Name: D R BLAND MD PA
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Organization

Specialization: Gynecology

Address:
201 EXECUTIVE PARK BLVD
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 774-9000
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D R BLAND MD PA is a gynecology obstetrics gynecology in Winston Salem, NC. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee D R BLAND MD PA NPI is 1003895889. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

201 EXECUTIVE PARK BLVD
WINSTON SALEM, NC
ZIP 27103-503
Phone: (336) 774-9000

The provider's authorized official is Deirdre Robinson Bland .
The authorized official title is President and has the following contact phone number (336) 774-9000.

The enumeration date for this NPI number is 1/11/2006 and was last updated on 1/23/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207VG0400XObstetrics & GynecologyGynecology36315NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
136315OTHERNORTH CAROLINANC STATE LICENSE
22182382BMEDICARE PINNORTH CAROLINA
3E04892MEDICARE UPINNORTH CAROLINA
42329864OTHERNORTH CAROLINAMEDICARE GROUP #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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