Individual
DR. PETER MATTHEW BELFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
PO BOX 602658, CHARLOTTE, NC 28260-2658
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2006-00585
NC
207RC0000X
Cardiovascular Disease Physician
2006-00585
NC
207RI0011X
Interventional Cardiology Physician
Primary
2006-00585
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205877990
—
VA
01
—
145H3
BCBS
—
01
—
199214
MEDCOST
—
05
—
3810009085
—
WV
05
—
5906638
—
NC
01
—
810499
PARTNERS
—
01
—
9904065
AETNA
—
05
—
Q85007
—
SC
Enumeration date
06/10/2006
Last updated
08/18/2017
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