Individual
DR. BERT CODY PIGGOTT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 981-7000
(540) 342-1757
Mailing address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 981-7000
(540) 342-1757
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101244566
VA
2085R0202X
Diagnostic Radiology Physician
30569
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104901354
BCBSNC
NC
05
—
1104901354
—
NC
Enumeration date
10/26/2006
Last updated
02/07/2019
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