Individual
DR. NORMAN H BERTELS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 PROVIDENCE RD, SUITE 101, CHARLOTTE, NC 28207-1468
(704) 749-5800
(704) 749-5819
Mailing address
200 PROVIDENCE RD, SUITE 101, CHARLOTTE, NC 28207-1468
(704) 749-5800
(704) 749-5819
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
32220
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15217
BCBS
NC
05
—
8915217
—
NC
Enumeration date
12/02/2005
Last updated
02/09/2012
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