Organization
ADVANCED FOOT & ANKLE SPECIALISTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANK J. BERCIK DPM (MANAGING EMPLOYEE)
(919) 554-0711
Entity
Organization
Contact information
Practice address
337 S WHITE ST, WAKE FOREST, NC 27587-2916
(919) 554-0711
(919) 554-1185
Mailing address
337 S WHITE ST, WAKE FOREST, NC 27587-2916
(919) 554-0711
(919) 554-1185
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017HE
BCBS
NC
05
—
5902530
—
NC
01
—
D355
PARTNERS
—
01
—
DE0017
RAILROAD MEDICARE
—
Enumeration date
05/17/2006
Last updated
04/07/2014
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