Individual
JOHN PETER BIRKEDAL
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
(336) 716-8018
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
(336) 716-8018
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
200101424
NC
207XS0117X
Orthopaedic Surgery of the Spine Physician
200101424
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1307J
BCBS
—
05
—
2005250000
—
WV
01
—
49021
PARTNERS
—
05
—
6407480
—
VA
01
—
7023675
AETNA
—
05
—
891307J
—
NC
01
—
B6450
MEDCOST
—
Enumeration date
11/30/2005
Last updated
11/15/2010
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