Provider Demographics
NPI:1326245846
Name:HIGGINS, STEVEN PATRICK (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:PATRICK
Last Name:HIGGINS
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 1:3008 PICKETT RD
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-6006
Mailing Address - Country:US
Mailing Address - Phone:919-286-7903
Mailing Address - Fax:919-286-7151
Practice Address - Street 1:3008 PICKETT RD
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-6006
Practice Address - Country:US
Practice Address - Phone:919-286-7903
Practice Address - Fax:919-286-7251
Is Sole Proprietor?:No
Enumeration Date:2007-06-28
Last Update Date:2017-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2008-00938207N00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC149JKOtherBLUE CROSS BLUE SHIELD OF NORTH CAROLINA
NC5909664Medicaid
NC149JKOtherBLUE CROSS BLUE SHIELD OF NORTH CAROLINA