Fields, Karl Bertrand

Fields, Karl Bertrand is an individual health care provider with primary practice located at 1131-C North Church Street , Greensboro NC 27401-1007. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Fields, Karl Bertrand can be contacted via phone (336) 832-7867.

Contact Information

Primary practice address
1131-C North Church Street Greensboro NC 27401-1007
Fax: (336) 832-7869
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 22107 North Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 22107 North Carolina

Profile Details

NPI number 1760437420
LBN Legal business name Fields, Karl Bertrand
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Sep 27th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760437420 NPPES
North Carolina Other 31950 BCBS NC
North Carolina Other 4646468 BCBS NC
North Carolina Other 6813 BCBS NC
North Carolina Other 23695 BCBS NC
North Carolina MEDICAID 8931950 BCBS NC

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