Provider Demographics
NPI:1144308834
Name:GYR, BETTINA MAGDALENA (MD)
Entity type:Individual
Prefix:DR
First Name:BETTINA
Middle Name:MAGDALENA
Last Name:GYR
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Gender:F
Credentials:MD
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Mailing Address - Street 1:301 BROOKE AVE APT 305
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23510-1344
Mailing Address - Country:US
Mailing Address - Phone:336-970-3187
Mailing Address - Fax:757-668-6544
Practice Address - Street 1:171 KEMPSVILLE RD BLDG A2ND
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23502-4700
Practice Address - Country:US
Practice Address - Phone:757-668-6557
Practice Address - Fax:757-668-6544
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2023-08-24
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Provider Licenses
StateLicense IDTaxonomies
VA0101056485207XP3100X
NC2010-00349207XP3100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XP3100XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryPediatric Orthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5914310Medicaid
NC2075666Medicare PIN