Provider Demographics
NPI:1376737437
Name:SCHMIDT, DAVID WILLIAM (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:WILLIAM
Last Name:SCHMIDT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 2089
Mailing Address - Street 2:
Mailing Address - City:ALBEMARLE
Mailing Address - State:NC
Mailing Address - Zip Code:28002-2089
Mailing Address - Country:US
Mailing Address - Phone:704-982-0122
Mailing Address - Fax:704-982-0125
Practice Address - Street 1:923 N 2ND ST
Practice Address - Street 2:STE 102
Practice Address - City:ALBEMARLE
Practice Address - State:NC
Practice Address - Zip Code:28001-3317
Practice Address - Country:US
Practice Address - Phone:704-982-0122
Practice Address - Fax:704-982-0125
Is Sole Proprietor?:No
Enumeration Date:2007-08-31
Last Update Date:2009-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC99-001312084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1932135498OtherSNI NPI NUMBER
NC046373OtherMCKESSON SUBMITTER NUMBER
NCP00071547OtherRETIRED RAILROAD NUMBER
NC1185TOtherBLUE CROSS PROVIDER NUMBE
NC2318699OtherGROUP MEDICARE PTAN
NC891185TMedicaid
NC1185TOtherBLUE CROSS PROVIDER NUMBE
NC891185TMedicaid