Provider Demographics
NPI:1316941206
Name:CARLSON, ERIC BARNETT (MD)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:BARNETT
Last Name:CARLSON
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 1:2090 W ARLINGTON BLVD
Mailing Address - Street 2:STE B
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-5727
Mailing Address - Country:US
Mailing Address - Phone:252-757-3333
Mailing Address - Fax:252-752-1786
Practice Address - Street 1:2090 W ARLINGTON BLVD
Practice Address - Street 2:STE B
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-5727
Practice Address - Country:US
Practice Address - Phone:252-757-3333
Practice Address - Fax:252-752-1786
Is Sole Proprietor?:No
Enumeration Date:2005-06-08
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC27136207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8921585Medicaid
NC21585OtherBCBS INDIVIDUAL ID #
NC21585OtherBCBS INDIVIDUAL ID #
NC205282HMedicare PIN