Provider Demographics
NPI:1982678934
Name:YUENGEL-BIENENFELD, CHRISTINE A (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:A
Last Name:YUENGEL-BIENENFELD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 WESTGATE CENTER DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:WINSTON-SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27103-3104
Mailing Address - Country:US
Mailing Address - Phone:336-774-8636
Mailing Address - Fax:336-774-0265
Practice Address - Street 1:1400 WESTGATE CENTER DR
Practice Address - Street 2:SUITE 200
Practice Address - City:WINSTON-SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-3104
Practice Address - Country:US
Practice Address - Phone:336-774-8636
Practice Address - Fax:336-774-0265
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-15
Last Update Date:2014-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9601111207N00000X, 207NP0225X, 207NS0135X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207NP0225XAllopathic & Osteopathic PhysiciansDermatologyPediatric Dermatology
No207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7573317OtherAETNA
NC891007TMedicaid
NC72867OtherMEDCOST
NC1007TOtherBCBS OF NC
NC16834OtherPARTNERS MEDICARE
NC0303573OtherUNITED HEALTHCARE OF NC
NC070002115OtherRR MEDICARE
NC7573317OtherAETNA
NC2233541AMedicare ID - Type Unspecified