Provider Demographics
NPI:1164632311
Name:CORTEZ, ERWIN PATRICK (MD)
Entity Type:Individual
Prefix:
First Name:ERWIN
Middle Name:PATRICK
Last Name:CORTEZ
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:PO BOX 2065
Mailing Address - Street 2:
Mailing Address - City:BRYSON CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28713-5065
Mailing Address - Country:US
Mailing Address - Phone:288-261-0467
Mailing Address - Fax:828-267-0599
Practice Address - Street 1:1224 COMMERCE ST SW
Practice Address - Street 2:
Practice Address - City:CONOVER
Practice Address - State:NC
Practice Address - Zip Code:28613-8249
Practice Address - Country:US
Practice Address - Phone:828-261-0467
Practice Address - Fax:828-267-0599
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2018-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2014-00019208100000X, 2081P2900X, 2081P2900X
NC2104-00019208VP0014X, 208VP0014X
ARE 5240208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCNCH937D540Medicare PIN
AR5H118Medicare PIN