Provider Demographics
NPI:1114907581
Name:BARRETT, ROLLAND J (MD)
Entity Type:Individual
Prefix:DR
First Name:ROLLAND
Middle Name:J
Last Name:BARRETT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 75216
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28275-5216
Mailing Address - Country:US
Mailing Address - Phone:336-718-7080
Mailing Address - Fax:336-718-9622
Practice Address - Street 1:3333 SILAS CREEK PKWY
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-3013
Practice Address - Country:US
Practice Address - Phone:336-277-8800
Practice Address - Fax:336-277-8850
Is Sole Proprietor?:No
Enumeration Date:2006-01-20
Last Update Date:2020-10-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC29214207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
7401564OtherUNITED HEALTHCARE
3099354OtherAETNA HMO
NC8913544Medicaid
4097887OtherAETNA PPO
VA006005578Medicaid
NC52467OtherMEDCOST
NC13544OtherBLUE CROSS AND BLUE SHIEL
NC550OtherPARTNERS NATIONAL HEALTH
P00031304OtherRAILROAD MEDICARE
NC550OtherPARTNERS NATIONAL HEALTH
NC204646DMedicare PIN