Individual
BRYCE ALAN HARBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3400 WAKE FOREST RD, RALEIGH, NC 27609-7317
(919) 954-3624
Mailing address
3400 WAKE FOREST RD, RALEIGH, NC 27609-7317
(919) 954-3624
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101264507
VA
2085R0202X
Diagnostic Radiology Physician
Primary
2019-00111
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073956637
—
VA
Enumeration date
04/14/2013
Last updated
12/18/2025
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