Provider Demographics
NPI:1881649911
Name:STIMSON, ALAN CHRISTOPHER (MD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:CHRISTOPHER
Last Name:STIMSON
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 1:114 MANDY LN
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28562-6549
Mailing Address - Country:US
Mailing Address - Phone:252-224-0802
Mailing Address - Fax:252-224-0802
Practice Address - Street 1:2000 NEUSE BLVD
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28560-3449
Practice Address - Country:US
Practice Address - Phone:252-633-8820
Practice Address - Fax:252-633-8820
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2017-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9500241208M00000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC10277OtherBCBS OF NC
NC8910277Medicaid
NC2235631CMedicare PIN
NCG15357Medicare UPIN
NC8910277Medicaid