Individual
DR. KARL BERTRAND FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1131-C NORTH CHURCH STREET, GREENSBORO, NC 27401-1007
(336) 832-7867
(336) 832-7869
Mailing address
1200 N ELM ST, GREENSBORO, NC 27401-1004
(336) 832-7000
(336) 832-7869
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22107
NC
207QS0010X
Sports Medicine (Family Medicine) Physician
22107
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23695
MEDCOST
NC
01
—
31950
BCBS NC
NC
01
—
4646468
AETNA
NC
01
—
6813
PARTNERS MEDICARE CHOICE
NC
05
—
8931950
—
NC
Enumeration date
05/23/2006
Last updated
09/27/2021
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