RALEIGH DURHAM MEDICAL GROUP PA NPI 1649221342

NPI Information

NPI: 1649221342
Provider Name: RALEIGH DURHAM MEDICAL GROUP PA

Doing Business As: BULL CITY FAMILY MEDICINE AND PEDIATRICS

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

Address:
4003 N ROXBORO ST
DURHAM, NC
ZIP 27704
Phone: (919) 220-3333
Get Directions

RALEIGH DURHAM MEDICAL GROUP PA is a family medicine in Durham, NC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. RALEIGH DURHAM MEDICAL GROUP PA NPI is 1649221342. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Bull City Family Medicine And Pediatrics.

The provider's business location address is:

4003 N ROXBORO ST
DURHAM, NC
ZIP 27704-119
Phone: (919) 220-3333
Fax: (919) 220-6317

The provider's authorized official is David K Moye .
The authorized official title is Exective Director and has the following contact phone number (919) 614-0301.

The CLIA number assigned to this NPI record is 34D0700749 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/15/2006 and was last updated on 7/16/2021.

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	Primary
1	207Q00000X	Family Medicine	Yes
2	207R00000X	Internal Medicine	No
3	208000000X	Pediatrics	No
4	363A00000X	Physician Assistant	No
5	363L00000X	Nurse Practitioner	No

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	01995	OTHER	NORTH CAROLINA	BCBS
2	5900353	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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