Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | 328 | NC |
N | 213ES0103X | Foot & Ankle Surgery | 328 | NC |
N | 213ES0131X | Foot Surgery | 328 | NC |
NPI | 1053375410 |
---|---|
Provider Name | Frank J. Bercik |
First Address | Wake Forest, NC 27587-2916 |
Second Address | Wake Forest, NC 27587-2916 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2006 |
Last Update Date | 31/07/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0806P | BLUECROSSBLUESHIELD OF NC (01) | NC |
6030640 | CIGNA HEALTHCARE (01) | |
61578 | MEDCOST (01) | NC |
890806P | (05) | NC |
976549 | UNITED HEALTHCARE (01) | |
P00265465 | RAILROAD MEDICARE (01) | NC |
U21987 | (02) |