Organization
MICHAEL BIENENFELD MD PA
Active
Organization
MICHAEL BIENENFELD MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BIENENFELD MD (OWNER)
(919) 303-1072
Entity
Organization
Contact information
Practice address
1505 SW CARY PKWY, SUITE 308, CARY, NC 27511-6219
(919) 303-1072
(919) 387-7552
Mailing address
1505 SW CARY PKWY, SUITE 308, CARY, NC 27511-6219
(919) 303-1072
(919) 387-7552
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
9600863
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0402628
UNITED HEALTHCARE
NC
01
—
1006H
BCBS OF NC
NC
01
—
16833
PARTNERS NUMBER
NC
05
—
891006H
—
NC
01
—
AETNA
7812348
NC
Enumeration date
02/23/2007
Last updated
08/22/2020
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