Provider Demographics
NPI:1174585699
Name:WEISGERBER, DAVID (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:WEISGERBER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:307 10TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601-3833
Mailing Address - Country:US
Mailing Address - Phone:828-327-9898
Mailing Address - Fax:
Practice Address - Street 1:307 10TH AVE NE
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601-3833
Practice Address - Country:US
Practice Address - Phone:828-327-9898
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-03
Last Update Date:2021-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC38242207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC110024024OtherMETRAHEALTH
NC86338OtherBCBSNC
NC110668OtherCIGNA
NC8986338Medicaid
NC89140OtherMEDCOST
NC110024024OtherMETRAHEALTH
NCB69841Medicare UPIN