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Contact Information

DAVID S BACON, MD
3643 N ROXBORO RD
DURHAM, NC27704
 Phone: 919-470-6186
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for DAVID S BACON · (Male)

NPI # 1164450797
Status Active
Credentials MD
Entity Individual
Enumeration date 06/30/2006
Last updated 12/29/2011 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 34510
  • NC Medicaid 7912491
Hospital affiliation(s)
  • DURHAM REGIONAL HOSPITAL - (Acute Care)
    3643 N ROXBORO ROAD
    DURHAM, NC 27704
  • NORTH CAROLINA SPECIALTY HOSPITAL - (Acute Care)
    3916 BEN FRANKLIN BOULEVARD
    DURHAM, NC 27704
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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