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DIBERT & NUTT MD PA NPI 1376597401


NPI Information

NPI: 1376597401
Provider Name: DIBERT & NUTT MD PA
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
2555 COURT DR
SUITE 400
GASTONIA, NC
ZIP 28054
Phone: (704) 864-5550
Get Directions

DIBERT & NUTT MD PA is a neurology psychiatry neurology in Gastonia, NC. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. DIBERT & NUTT MD PA NPI is 1376597401. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2555 COURT DR
SUITE 400
GASTONIA, NC
ZIP 28054-134
Phone: (704) 864-5550
Fax: (704) 864-7448

The provider's authorized official is Steven Wesley Dibert .
The authorized official title is Physician and has the following contact phone number (704) 864-5550.

The enumeration date for this NPI number is 5/22/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0400XPsychiatry & NeurologyNeurologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
122658OTHERNORTH CAROLINAPARTNERS MEDICARE
28928459MEDICAIDNORTH CAROLINA
328459OTHERNORTH CAROLINABLUE CROSS BLUE SHIELD
45902832MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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