PRIVATE DIAGNOSTIC CLINIC PLLC NPI 1477609535

NPI Information

  • NPI: 1477609535
  • Provider Name: PRIVATE DIAGNOSTIC CLINIC, PLLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Other Name: DUKE GI AT BRIER CREEK
  • CLIA Number: 34D1055119
  • Address: 10441 MONCREIFFE RD
    SUITE 101
    RALEIGH, NC
    ZIP 27617
  • Phone: (800) 266-3853

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NPI Details

PRIVATE DIAGNOSTIC CLINIC, PLLC is an ambulatory surgical clinic center in Raleigh, NC. PRIVATE DIAGNOSTIC CLINIC, PLLC NPI is 1477609535. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Duke Gi At Brier Creek.

The provider's business location address is:

10441 MONCREIFFE RD
SUITE 101
RALEIGH, NC
ZIP 27617-810
Phone: (800) 266-3853

The provider's authorized official is Christopher Thomas Frederick .
The authorized official title is Cfo and has the following contact phone number (919) 613-7762.

The CLIA number assigned to this NPI record is 34D1055119 - physician office with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
  • Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43235)
  • Removal of large bowel tissue using a flexible endoscope (HCPCS:45390)
  • Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm (HCPCS:43249)

The enumeration date for this NPI number is 1/25/2007 and was last updated on 10/20/2022.

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
1207RG0100XInternal MedicineGastroenterologyNORTH CAROLINANo
2261QA1903XClinic/CenterAmbulatory SurgicalYes

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: 11/21/2025

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