Individual
BIRGER STEVEN BENTSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1908 MEETING CT, WILMINGTON, NC 28401-6631
(910) 815-0260
(910) 763-3311
Mailing address
10741 TREGO TRL, RALEIGH, NC 27614-9660
(910) 524-7100
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
28461
NC
2084P0800X
Psychiatry Physician
Primary
28461
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15073
BLUE CROSS NORTH CAROLINA
NC
01
—
1790860971
GROUP NPI
NC
01
—
2022918
MEDICARE ID- TYPE UNSPECIFIED
NC
01
—
2326986
GROUP PIN
NC
05
—
8915073
—
NC
Enumeration date
11/21/2006
Last updated
05/07/2020
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