Provider Demographics
NPI:1861448649
Name:STRUNK, HERBERT ALLEN JR (DO)
Entity Type:Individual
Prefix:
First Name:HERBERT
Middle Name:ALLEN
Last Name:STRUNK
Suffix:JR
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 REGIONAL CIR
Mailing Address - Street 2:
Mailing Address - City:PINEHURST
Mailing Address - State:NC
Mailing Address - Zip Code:28374-9796
Mailing Address - Country:US
Mailing Address - Phone:910-715-8600
Mailing Address - Fax:910-715-8613
Practice Address - Street 1:7 REGIONAL CIR
Practice Address - Street 2:
Practice Address - City:PINEHURST
Practice Address - State:NC
Practice Address - Zip Code:28374-9796
Practice Address - Country:US
Practice Address - Phone:910-715-8600
Practice Address - Fax:910-715-8613
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2019-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9901041207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC20544OtherDOCTORS HEALTH PLAN
SCN01043OtherSC MEDICAID
NC110221855OtherRAILROAD
NC127JVOtherBLUE CROSS BLUE SHIELD
NCFH2001255OtherFIRST CAROLINA CARE
NCA1538OtherMEDCOST
NC89127JVMedicaid
NCE03601Medicare UPIN
SCN01043OtherSC MEDICAID