Brian David Bjerke, SOIDC
Individual provider Active NPI Independent Duty Corpsman · Snead'S Ferry, NC
NPI 1164033197 · NPPES record last updated Aug 13, 2020
Key facts
- NPI
- 1164033197
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Independent Duty Corpsman 1710I1002X
- Practice address
- 612 Everrett Creek Road
Snead'S Ferry, NC 28460 - Phone
- (910) 440-1947
- NPI assigned
- Aug 13, 2020
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Independent Duty Corpsman | 1710I1002X | Yes |
Addresses
Primary practice location
612 Everrett Creek Road
Snead'S Ferry, NC 28460
Mailing address
257 Everett Yopp Dr
Sneads Ferry, NC 28460-9449
Phone (248) 835-5470
Other providers in Snead'S Ferry, NC
- Charles William Bauer
- Rebekah Bell
- Rodney Alan Bennett Jr.
- Jacob Tyrell Berg
- Brianna Bingerman
- Joel Blades
- Carmody Bowman
- Morgan Brittany Burgess
- Jessica Delia Campagna
- Carolina Women'S Psychiatry, PLLC
All providers in Snead'S Ferry, NC · Independent Duty Corpsman in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.