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Individual

DANIEL ROY BAUER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
200 HAWTHORNE LN, CHARLOTTE, NC 28204-2515
(704) 384-5416
(704) 384-5992
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-5416
(704) 384-5992

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
200600305
NC
207R00000X
Internal Medicine Physician
31138
SC
208M00000X
Hospitalist Physician
Primary
2006-00305
NC
208M00000X
Hospitalist Physician
31138
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5903686
NC
05
N00301
SC
01
P00395366
RAILROAD MEDICARE
NC
01
SCF5515019
MEDICARE PIN
SC
01
SCF5519068
MEDICARE PIN
SC
Enumeration date
03/22/2006
Last updated
08/21/2025
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