Active NPI
Bernard Stephen Lebenson, M.D.
- Urology Physician
- Cary, NC
National Provider Identifier
1003055211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 23727
- Practice address
- 2212 Upper Valley CT
Cary, NC 27518-8931 - Phone
- (919) 851-0888
- Fax
- (919) 851-9992
- NPI assigned
- Feb 11, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 23727 | NC | Primary |
Addresses
Primary practice location
2212 Upper Valley CT
Cary, NC 27518-8931
Mailing address
2212 Upper Valley CT
Cary, NC 27518-8931
Phone (919) 851-0888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3E39274 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23727 | NC | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234310400000",
"number": "1003055211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2212 UPPER VALLEY CT",
"city": "CARY",
"state": "NC",
"postal_code": "275188931",
"telephone_number": "919-851-0888",
"fax_number": "919-851-9992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2212 UPPER VALLEY CT",
"city": "CARY",
"state": "NC",
"postal_code": "275188931",
"telephone_number": "919-851-0888",
"fax_number": "919-851-9992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEBENSON",
"first_name": "BERNARD",
"middle_name": "STEPHEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-02-11",
"last_updated": "2009-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NC",
"license": "23727",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3E39274",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.