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DURHAM NEPHROLOGY ASSOCIATES PA NPI 1962583203


NPI Information

NPI: 1962583203
Provider Name: DURHAM NEPHROLOGY ASSOCIATES PA

Other Name: DURHAM NEPHROLOGY

Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

CLIA Number: 34D0241130

Address:
4419 BEN FRANKLIN BLVD
DURHAM, NC
ZIP 27704
Phone: (919) 477-3005
Get Directions

DURHAM NEPHROLOGY ASSOCIATES PA is a nephrology internal medicine in Durham, NC. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. DURHAM NEPHROLOGY ASSOCIATES PA NPI is 1962583203. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Durham Nephrology.

The provider's business location address is:

4419 BEN FRANKLIN BLVD
DURHAM, NC
ZIP 27704-147
Phone: (919) 477-3005
Fax: (919) 477-5526

The provider's authorized official is Charles Ian Cooperberg .
The authorized official title is President and has the following contact phone number (919) 477-3005.

The CLIA number assigned to this NPI record is 34D0241130 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/17/2006 and was last updated on 4/30/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RN0300XInternal MedicineNephrologyNORTH CAROLINAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CG4698OTHERMEDICARE RAILROAD
20166COTHERNORTH CAROLINABLUE CROSS BLUE SHIELD
3890166CMEDICAIDNORTH 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: 4/28/2024

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