Gary F Bjarnason

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

237 Issued in NC

Practice address

240 Smith Church Rd
Roanoke Rapids, NC 27870-4903

Phone

(252) 535-2004

Fax

(252) 535-9154

NPI assigned

Sep 8, 2006

Last updated

Dec 21, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• Gary F Bjarnason Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Carolina Care of Halifax, LLC

  dba Dba Carolina Rest Home

  • Assisted Living Facility
  • Roanoke Rapids, NC
  • NPI 1528143989
  NPD (past)
• Dixie Rest Home 1

  dba Woodhaven Rest Home 1

  • Assisted Living Facility
  • Enfield, NC
  • NPI 1417028135
  NPD (past)
• Garner Family Care Services, LLC.

  • Psychiatry Physician
  • Garner, NC
  • NPI 1669780375
  NPD (past)
• RV Assisted Living, LLC

  dba Rich Square Manor

  • Adult Care Home Facility
  • Rich Square, NC
  • NPI 1912144601
  NPD (past)
• RV Nursing Home, LLC

  dba Rich Square Manor

  • Assisted Living Facility
  • Rich Square, NC
  • NPI 1881762961
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229817600000",
    "number": "1821192154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 SMITH CHURCH RD",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278704903",
            "telephone_number": "252-535-2004",
            "fax_number": "252-535-9154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 SMITH CHURCH RD",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278704903",
            "telephone_number": "252-535-2004",
            "fax_number": "252-535-9154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BJARNASON",
        "first_name": "GARY",
        "middle_name": "F",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-08",
        "last_updated": "2008-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NC",
            "license": "237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "0801G",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4545795002",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890801G",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "243143",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "77489",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "480033405",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GARY",
            "last_name": "BJARNASON",
            "middle_name": "F",
            "credential": "DPM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Lewis Edel Bertus, PA-C
• Anishwar Rohanlal Bhagwandass, DMD
• Sheila Bhagwandass, MD
• Bio-Medical Applications of North Carolina, Inc. (Bma of Roanoke Rapids)
• Ganesh Bissram, MD
• Shafia Lanelle Bowser
• Catherine Jessica Boyer, LCSW
• Thereasa Marie Bradley-Bullock, MPA
• Joseph Bradley
• Brian L Maynor D.D.S., PLLC (Crosscreek Family Dentistry)

• Primary Podiatric Medicine Podiatrist in Roanoke Rapids, NC
• Providers in Roanoke Rapids, NC by specialty
• Primary Podiatric Medicine Podiatrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.