PRIVATE DIAGNOSTIC CLINIC PLLC NPI 1083168181

NPI Information

  • NPI: 1083168181
  • Provider Name: PRIVATE DIAGNOSTIC CLINIC, PLLC
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Organization
  • Doing Business As: BRIER CREEK NEPHROLOGY
  • Address: 10207 CERNY ST STE 306
    RALEIGH, NC
    ZIP 27617
  • Phone: (919) 405-2341

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NPI Details

PRIVATE DIAGNOSTIC CLINIC, PLLC is a nephrology internal medicine in Raleigh, 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. PRIVATE DIAGNOSTIC CLINIC, PLLC NPI is 1083168181. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Brier Creek Nephrology.

The provider's business location address is:

10207 CERNY ST STE 306
RALEIGH, NC
ZIP 27617-879
Phone: (919) 405-2341
Fax: (919) 660-9201

The provider's authorized official is Christopher T Frederick .
The authorized official title is Cfo and has the following contact phone number (919) 620-4918.

The enumeration date for this NPI number is 8/8/2016 and was last updated on 5/13/2022.

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
1207RN0300XInternal MedicineNephrologyYes

What is NPI?

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This page was last updated on: 11/21/2025

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