Provider Demographics
NPI:1982716205
Name:BIGLER, TERRI E (MD)
Entity Type:Individual
Prefix:
First Name:TERRI
Middle Name:E
Last Name:BIGLER
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 1:3400 DATA DR
Mailing Address - Street 2:
Mailing Address - City:RANCHO CORDOVA
Mailing Address - State:CA
Mailing Address - Zip Code:95670-7956
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2110 PROFESSIONAL DR
Practice Address - Street 2:SUITE 120
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95661-3752
Practice Address - Country:US
Practice Address - Phone:916-536-2500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2018-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG78179208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1087089OtherFIRST HEALTH
CA000810353810OtherPHCS
CA00G781790Medicaid
CA404275OtherGREAT WEST
CA5342739OtherAETNA
CA31065OtherINTERPLAN
CAG78179OtherBLUE CROSS
CA00G781790OtherBLUE SHIELD
CA1729337OtherUNITED
CA2091968OtherCIGNA
CA90084242OtherPACIFICARE
CA064362OtherHEALTH NET
CA2260278OtherFIRST HEALTH
CAMCMG123700OtherWESTERN HEALTH ADVANTAGE
CA90084242OtherPACIFICARE
CA064362OtherHEALTH NET