Active NPIIndividual provider

Dana S Bifolck, PA-C

Physician Assistant in Winston Salem, North Carolina

NPI Number1114300514
Practice location
Medical Center Blvd, Winston Salem, NC 27157-6946
Fax
—
Last updated
June 19, 2020

Dana Shelby Bifolck is a Physician Assistant based in Winston Salem, NC. Dana Shelby Bifolck practices in Winston Salem, NC and has the professional credentials of PA-C. The NPI Number for Dana Shelby Bifolck is 1114300514 and holds a License No. PA7310 (MA). The current practice location address for Dana Shelby Bifolck is Medical Center Blvd, Winston Salem, NC 27157-6946 and can be reached out via phone at 336-716-9997.

Provider Profile Details

NPI Number
1114300514
Provider Name
Dana Shelby Bifolck
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
Medical Center Blvd, Winston Salem, NC 27157-6946
Phone Number
336-716-9997
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Other Names
-- Dana Bergstrom, PA-C (Former Name)
Provider Enumeration Date
July 2, 2015
Last Update Date
June 19, 2020
Certification Date
June 19, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
Medical Center Blvd
Winston Salem, NC 27157-6946
Zip
27157-6946
Phone Number
336-716-9997
Winston Salem, NC 27157Get directions →

Provider Business Mailing Address Details

Address
1021 Main St
Ste 203
Winchester, MA 01890-1970
City
Winchester
State
MA
Zip
01890-1970
Phone Number
781-756-2118
Fax Number
781-756-7274

License Information

License Number (1)
PA7310
License State (1)
MA
Taxonomy (1)
Physician Assistant · 363A00000X · Primary
License Number (2)
0010-05774
License State (2)
NC
Taxonomy (2)
Physician Assistant · 363A00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dana S Bifolck, PA-C?

The NPI number of Dana S Bifolck, PA-C is 1114300514. It was assigned on July 2, 2015 and is currently active in the NPPES registry.

What is the specialty of Dana S Bifolck, PA-C?

Dana S Bifolck, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number PA7310.

Where does Dana S Bifolck, PA-C practice?

The practice location is Medical Center Blvd, Winston Salem, NC 27157-6946. The office can be reached at 336-716-9997 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114300514 directly on the NPPES registry website.

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