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BOVARD BARIATRIC CENTER PA NPI 1265619787


NPI Information

NPI: 1265619787
Provider Name: BOVARD BARIATRIC CENTER PA

Doing Business As: TRIANGLE WEIGHT LOSS SURGERY

Classification: Surgery - 208600000X
Entity Type: Organization
Address:
11200 GOVERNOR MANLY WAY
SUITE 200
RALEIGH, NC
ZIP 27614
Phone: (919) 340-2263
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BOVARD BARIATRIC CENTER PA is a surgery in Raleigh, NC. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. BOVARD BARIATRIC CENTER PA NPI is 1265619787. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Triangle Weight Loss Surgery.

The provider's business location address is:

11200 GOVERNOR MANLY WAY
SUITE 200
RALEIGH, NC
ZIP 27614-599
Phone: (919) 340-2263
Fax: (919) 554-3771

The provider's authorized official is Scott Bovard .
The authorized official title is Owner and has the following contact phone number (919) 340-2263.

The enumeration date for this NPI number is 1/28/2008 and was last updated on 10/9/2012.


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
1208600000XSurgery2008-00006NORTH 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
12021942AMEDICARE PINNORTH CAROLINA

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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