Provider Demographics
NPI:1760768337
Name:BIGNER, DARELL DOTY (MD, PHD)
Entity Type:Individual
Prefix:
First Name:DARELL
Middle Name:DOTY
Last Name:BIGNER
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Gender:M
Credentials:MD, PHD
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Other - Credentials:
Mailing Address - Street 1:DUKE UNIVERSITY MEDICAL CTR
Mailing Address - Street 2:MSRB-1, ROOM 177, RESEARCH DRIVE, BOX 3156
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27710-0001
Mailing Address - Country:US
Mailing Address - Phone:919-684-5018
Mailing Address - Fax:919-684-6458
Practice Address - Street 1:DUKE UNIVERSITY MEDICAL CTR
Practice Address - Street 2:MSRB-1, ROOM 177, RESEARCH DRIVE, BOX 3156
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27710-0001
Practice Address - Country:US
Practice Address - Phone:919-684-5018
Practice Address - Fax:919-684-6458
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-27
Last Update Date:2011-10-27
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Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC152172084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology