Doctor Name: | DAVID SCOTT BJERKEN |
NPI Number: | 1518964626 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 13600 |
Business Practice Address: | 3980 Highway 9 E Suite 120 Little River, SC - 295668163 |
Business Phone Number: | 8888125143 |
Business Fax Number: | 8437777041 |
Mailing Address: | Po Box 3239, FLORENCE |
State: | SC |
Postal Code: | 295023239 |
Phone Number: | 8437777120 |
Fax Number: | 8437777102 |
NPI Enumeration Date: | 07/05/2005 |
NPI Last Update Date: | 10/28/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0129X |
License Number: | 13600 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Vascular Surgery |
Taxonomy Definition: | A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |