PEDIATRIC UROLOGY OF NORTH CAROLINA NPI 1780601120

NPI Information

  • NPI: 1780601120
  • Provider Name: PEDIATRIC UROLOGY OF NORTH CAROLINA
  • Classification: Urology - 2088P0231X
  • Specialization: Pediatric Urology
  • Entity Type: Organization
  • Address: 2406 BLUE RIDGE RD
    SUITE 190
    RALEIGH, NC
    ZIP 27607
  • Phone: (919) 785-1888

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NPI Details

PEDIATRIC UROLOGY OF NORTH CAROLINA is a pediatric urology urology in Raleigh, NC. The provider is surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele). PEDIATRIC UROLOGY OF NORTH CAROLINA NPI is 1780601120. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2406 BLUE RIDGE RD
SUITE 190
RALEIGH, NC
ZIP 27607-678
Phone: (919) 785-1888

The provider's authorized official is Timothy P Bukowski .
The authorized official title is President and has the following contact phone number (919) 785-1888.

The enumeration date for this NPI number is 7/15/2006 and was last updated on 2/4/2008.

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
12088P0231XUrologyPediatric Urology9500849NORTH 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12212843AMEDICARE PINNORTH CAROLINA

What is NPI?

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This page was last updated on: 3/30/2025

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