RAYMOND BRUCE DYER MD NPI 1134103435

NPI Information

NPI: 1134103435
Provider Name: RAYMOND BRUCE DYER, MD
Classification: Radiology - 2085B0100X
Entity Type: Individual

Specialization: Body Imaging

PECOS Registration: Yes

Address:
MEDICAL CENTER BLVD
WINSTON SALEM, NC
ZIP 27157
Phone: (336) 716-2255
Get Directions

Raymond Bruce Dyer, MD is a body imaging radiology in Winston Salem, NC. The provider is a Radiology doctor of Osteopathy that specializes in Body Imaging. Raymond Bruce Dyer, MD NPI is 1134103435. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

MEDICAL CENTER BLVD
WINSTON SALEM, NC
ZIP 27157-001
Phone: (336) 716-2255

The NPI 1134103435 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/1/2005 and was last updated on 10/8/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0204X	Radiology	Vascular & Interventional Radiology	26814	NORTH CAROLINA	No
2	2085U0001X	Radiology	Diagnostic Ultrasound	26814	NORTH CAROLINA	No
3	2085B0100X	Radiology	Body Imaging	26814	NORTH CAROLINA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5150	OTHER	NORTH CAROLINA	PARTNERS
2	8929627	MEDICAID	NORTH CAROLINA
3	7230249	MEDICAID	VIRGINIA
4	220671000	MEDICAID	WEST VIRGINIA
5	64177	OTHER	NORTH CAROLINA	MEDCOST
6	29627	OTHER	NORTH CAROLINA	BCBS
7	300130213	MEDICARE PIN	NORTH CAROLINA
8	2060622C	MEDICARE PIN	NORTH CAROLINA
9	Q26814	MEDICAID	SOUTH CAROLINA
10	5825296	OTHER	NORTH CAROLINA	AETNA
11	C83606	MEDICARE UPIN

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

NPI Synchronization or Removal

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