Individual
STEPHEN N SIDES II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
720 NEWMAN RD, NEW BERN, NC 28562-5238
(252) 633-5057
(252) 633-0084
Mailing address
PO BOX 12065, NEW BERN, NC 28561-2065
(252) 633-5057
(252) 633-0084
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
9300811
NC
2085B0100X
Body Imaging Physician
9300811
NC
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
9300811
NC
2085N0700X
Neuroradiology Physician
9300811
NC
2085N0904X
Nuclear Radiology Physician
9300811
NC
2085P0229X
Pediatric Radiology Physician
9300811
NC
2085R0001X
Radiation Oncology Physician
9300811
NC
2085R0202X
Diagnostic Radiology Physician
9300811
NC
2085R0203X
Therapeutic Radiology Physician
9300811
NC
2085R0204X
Vascular & Interventional Radiology Physician
Primary
9300811
NC
2085R0205X
Radiological Physics Physician
9300811
NC
2085U0001X
Diagnostic Ultrasound Physician
9300811
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
153000500
DOL
NC
01
—
153405
VYTRA
NC
01
—
760158
MAMSI
NC
01
—
7612A
BCBS OF NC
NC
05
—
897612A
—
NC
01
—
C5187
MEDCOST
NC
Enumeration date
11/18/2005
Last updated
10/28/2020
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