Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 9400714 | NC |
N | 208600000X | Surgeon | 9400714 | NC |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 9400714 | NC |
NPI | 1043214687 |
---|---|
Provider Name | Bryan K Bartle |
First Address | Greensboro, NC 27401-1004 |
Second Address | Greensboro, NC 27401-1230 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2005 |
Last Update Date | 10/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
13590 | BLUE CROSS & BLUE SHIELD (01) | NC |
1801562 | UNITED HEALTHCARE (01) | NC |
330003708 | RAILROAD MCR (01) | NC |
51171 | MEDCOST (01) | NC |
7913590 | (05) | NC |
D70323 | (02) | NC |