Provider Demographics
NPI:1851483184
Name:ANDERSON, ALBERT BERNARD (MD)
Entity Type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:BERNARD
Last Name:ANDERSON
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 1:141 ASHELAND AVE
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801
Mailing Address - Country:US
Mailing Address - Phone:828-252-6922
Mailing Address - Fax:828-252-6989
Practice Address - Street 1:141 ASHELAND AVE
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801
Practice Address - Country:US
Practice Address - Phone:828-252-6922
Practice Address - Fax:828-252-6989
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2008-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC27013207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8911092Medicaid
NC11092OtherBCBS
NC8911092Medicaid
C82023Medicare UPIN