Individual
GARY F BJARNASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
240 SMITH CHURCH RD, ROANOKE RAPIDS, NC 27870-4903
(252) 535-2004
(252) 535-9154
Mailing address
240 SMITH CHURCH RD, ROANOKE RAPIDS, NC 27870-4903
(252) 535-2004
(252) 535-9154
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
237
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0801G
BCBS OF NC
NC
01
—
243143
MEDICARE
—
01
—
4545795002
CIGNA
—
01
—
480033405
RAILROAD
—
01
—
77489
MEDCOST
—
05
—
890801G
—
NC
Enumeration date
09/08/2006
Last updated
12/21/2008
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