# DENZIL W HAWKINBERRY II

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1376644401
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 20823 | WV | — |
| 207LA0401X | Addiction Medicine (Anesthesiology) Physician | 20823 | WV | Yes |

## Other

- **Enumeration date:** 09/25/2006
- **Last updated:** 09/12/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 001706469 | BLUE CROSS | WV |
| 01 | — | 001808009 | MSBCBS | WV |
| 01 | — | 001907643 | MSBCBS GROUP | WV |
| 05 | — | 0207026000 | — | WV |
| 01 | — | 1068812 | BRICKSTREET | WV |
| 01 | — | 205542387 | TRICARE | WV |
| 01 | — | 20554238700 | WORKERS COMP | WV |
| 01 | — | 205542387001 | TRICARE | WV |
| 01 | — | 2332177174-00 | OHIO WORKERS COMP | WV |
| 01 | — | 2528367 | OHIO MEDICAID | WV |
| 01 | — | 270052997004 | TRICARE MAAC | WV |
| 01 | — | 27005997004 | TRICARE | WV |
| 05 | — | 3810001133 | — | WV |
| 05 | — | 3810006746 | — | WV |
| 01 | — | DF0767 | RR MEDICARE | WV |
| 01 | — | P00382001 | RR MEDICARE | WV |
| 01 | — | P00407274 | RR MEDICARE | WV |