Basic Information
Provider Information
NPI: 1982716205
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BIGLER
FirstName: TERRI
MiddleName: E.
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3400 DATA DR
Address2:  
City: RANCHO CORDOVA
State: CA
PostalCode: 956707956
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 2110 PROFESSIONAL DR
Address2: SUITE 120
City: ROSEVILLE
State: CA
PostalCode: 956613752
CountryCode: US
TelephoneNumber: 9165362500
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/31/2006
LastUpdateDate: 11/12/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208M00000XG78179CAY Allopathic & Osteopathic PhysiciansHospitalist 
207R00000XG78179CAN Allopathic & Osteopathic PhysiciansInternal Medicine 

ID Information
IDTypeStateIssuerDescription
108708901CAFIRST HEALTHOTHER
00081035381001CAPHCSOTHER
00G78179005CA MEDICAID
40427501CAGREAT WESTOTHER
534273901CAAETNAOTHER
3106501CAINTERPLANOTHER
G7817901CABLUE CROSSOTHER
00G78179001CABLUE SHIELDOTHER
172933701CAUNITEDOTHER
209196801CACIGNAOTHER
9008424201CAPACIFICAREOTHER
06436201CAHEALTH NETOTHER
226027801CAFIRST HEALTHOTHER
MCMG12370001CAWESTERN HEALTH ADVANTAGEOTHER


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