DR. DOUGLAS MICHAEL CONRAD MD NPI 1467676510

NPI Information

NPI: 1467676510
Provider Name: DR. DOUGLAS MICHAEL CONRAD, MD
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Individual

Specialization: Child & Adolescent Psychiatry

Address:
4505 FAIRMEADOW LN
SUITE 208
RALEIGH, NC
ZIP 27607
Phone: (919) 782-4954
Get Directions

DR. Douglas Michael Conrad, MD is a child and adolescent psychiatry psychiatry neurology in Raleigh, NC. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. DR. Douglas Michael Conrad, MD NPI is 1467676510. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4505 FAIRMEADOW LN
SUITE 208
RALEIGH, NC
ZIP 27607-449
Phone: (919) 782-4954
Fax: (919) 782-4849

The enumeration date for this NPI number is 4/12/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	20252	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	23893	OTHER		BLUE CROSS BLUE SHIELD
2	C81950	MEDICARE UPIN
3	203592	MEDICARE ID-TYPE UNSPECIFIED	NORTH CAROLINA
4	8923893	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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