Provider Demographics
NPI:1003891797
Name:DAVID F COLVARD, MD, PA
Entity Type:Organization
Organization Name:DAVID F COLVARD, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIST
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:FRED
Authorized Official - Last Name:COLVARD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:919-781-3141
Mailing Address - Street 1:3725 NATIONAL DR
Mailing Address - Street 2:SUITE 228
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27612-4066
Mailing Address - Country:US
Mailing Address - Phone:919-781-3141
Mailing Address - Fax:919-781-3141
Practice Address - Street 1:3725 NATIONAL DR
Practice Address - Street 2:SUITE 228
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27612-4066
Practice Address - Country:US
Practice Address - Phone:919-781-3141
Practice Address - Fax:919-781-3141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC242352084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC23831OtherBCBS PROVIDER NUMBER
C81499Medicare UPIN