# JERRY DAVID CADE

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

## Provider details

- **NPI number:** 1861427304
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 19787 | NC | — |
| 207Q00000X | Family Medicine Physician | 19787 | NC | Yes |

## Other

- **Enumeration date:** 07/12/2006
- **Last updated:** 07/24/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00513 | BCBS | NC |
| 01 | — | 0081P | BCBS SWINGBED | NC |
| 01 | — | 014MX | BCBS LABS | NC |
| 01 | — | 07673 | BCBS PHYSICIAN | NC |
| 01 | — | 20642 | BCBS INDIVIDUAL PROVIDER | NC |
| 01 | — | 235013 | MEDICARE PHYSICIAN | NC |
| 01 | — | 235013B | MEDICARE PHYSICIAN | NC |
| 01 | — | 3400011 | MEDCAID | NC |
| 01 | — | 34U011 | MEDICARE SWINGBED | NC |
| 01 | — | 411013849 | MEDICARE RAILROAD | NC |
| 01 | — | 8907673 | MEDICAID PHYSICIAN | NC |
| 05 | — | 8920642 | — | NC |