Provider Demographics
NPI:1265659288
Name:PICKARD, WARREN T II (MD)
Entity type:Individual
Prefix:DR
First Name:WARREN
Middle Name:T
Last Name:PICKARD
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4901 E NC HIGHWAY 150
Mailing Address - Street 2:
Mailing Address - City:BROWNS SUMMIT
Mailing Address - State:NC
Mailing Address - Zip Code:27214-9719
Mailing Address - Country:US
Mailing Address - Phone:336-656-9905
Mailing Address - Fax:336-656-5227
Practice Address - Street 1:4901 E NC HIGHWAY 150
Practice Address - Street 2:
Practice Address - City:BROWNS SUMMIT
Practice Address - State:NC
Practice Address - Zip Code:27214-9719
Practice Address - Country:US
Practice Address - Phone:336-656-9905
Practice Address - Fax:336-656-5227
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2021-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2008-00707207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1265659288OtherNC BLUE CROSS
NC1265659288OtherHUMANA
NC1265659288OtherAARP MEDICARE COMPLETE
NC1265659288OtherAETNA
NC1265659288OtherCOMMERCIAL
NC2022597BOtherMEDICARE
NC1265659288OtherCOVENTRY
NC5910251Medicaid
NC1265659288OtherUNITED HEALTHCARE
NC1265659288OtherBLUE MEDICARE