Independence Medical, Pa in Raleigh - Geriatric Medicine
Independence Medical, Pa - NPI 1700845112
Independence Medical, Pa is a Geriatric Medicine in Raleigh, North Carolina. Independence Medical, Pa practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for Independence Medical, Pa is 1700845112. The last update date is 2013-10-31.
Independence Medical, Pa's current location address is 1209 Falls Bridge Dr, Raleigh, North Carolina. You can contact this provider via phone number 9195444747 and fax number 9195440104. The mailing address for Independence Medical, Pa is 1209 Falls Bridge Dr, Raleigh, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Independence Medical, Pa |
|---|---|
| Address | 1209 Falls Bridge Dr, Raleigh, North Carolina |
| Phone Number | 9195444747 |
| Fax Number | 9195440104 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Bennett L Bernard |
| Credentials | M.D. |
| Telephone Number | 9196228272 |
NPI Number Detail
| NPI Number | 1700845112 |
|---|---|
| Provider Enumeration Date | 2006-03-23 |
| Last Updated Date | 2013-10-31 |
Provider Mailing Address Detail
| Address | 1209 Falls Bridge Dr |
|---|---|
| City | Raleigh |
| State | North Carolina (NC) |
| Post Code | 276148935 |
| Phone Number | 9195444747 |
| Fax Number | 9195440104 |
Provider's Primary Taxonomy Detail
| Speciality | Geriatric Medicine |
|---|---|
| Taxonomy | 207Qg0300X |
| Licence No | 36493 |
|
Definition: A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| DA5493 | NC | MEDICARE RAILROAD | |
| 891028P | NC | -- | |
| 1028P | NC | -- | |
| P00062870 | NC | MEDICARE RAILROAD |
Post Comment/ Review Below
What is the unique provider identifier assigned to Independence Medical, Pa?
The Independence Medical, Pa has been issued the NPI (National Provider Identifier) 1700845112 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Independence Medical, Pa?
The Independence Medical, Pa is situated at 1209 Falls Bridge Dr, in the city of Raleigh, state of NC, with the zip code 276148935.
What is Independence Medical, Pa's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Independence Medical, Pa's specialized field of practice is Geriatric Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Qg0300X.
When was the Independence Medical, Pa's 1700845112 issued?
The Independence Medical, Pa's 1700845112 was issued on 2006-03-23.
As of what date was the information regarding Independence Medical, Pa, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Independence Medical, Pa, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-10-31.
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