Individual
ROBERT EDMOND BECHTOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
27424
NC
2085R0204X
Vascular & Interventional Radiology Physician
27424
NC
2085U0001X
Diagnostic Ultrasound Physician
27424
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14267
BCBS
—
05
—
220583000
—
WV
01
—
4665727
AETNA
—
01
—
51291
MEDCOST
—
01
—
6996
PARTNERS
—
05
—
7233507
—
VA
05
—
8914267
—
NC
05
—
Q27424
—
SC
Enumeration date
12/07/2005
Last updated
10/08/2010
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