PETER PAUL BUONACCORSI M.D. NPI 1639208978

NPI Information

  • NPI: 1639208978
  • Provider Name: PETER PAUL BUONACCORSI, M.D.
  • Classification: Psychiatry & Neurology - 2084P0804X
  • Specialization: Child & Adolescent Psychiatry
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4601 LAKE BOONE TRAIL
    SUITE 2C
    RALEIGH, NC
    ZIP 27607
  • Phone: (919) 348-9195

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NPI Details

Peter Paul Buonaccorsi, M.D. 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. Peter Paul Buonaccorsi, M.D. NPI is 1639208978. 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:

4601 LAKE BOONE TRAIL
SUITE 2C
RALEIGH, NC
ZIP 27607
Phone: (919) 348-9195
Fax: (919) 786-0604

The NPI 1639208978 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/4/2007 and was last updated on 6/11/2013.

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
12084P0800XPsychiatry & NeurologyPsychiatry2010-01241NORTH CAROLINANo
22084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry2010-01241NORTH CAROLINAYes

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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