Organization Active NPI

Buckel Orthopedics PLLC

  • Orthopaedic Surgery Physician
  • Durham, NC
National Provider Identifier
1114509551
Registry record updated Apr 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
BUCKEL ORTHOPEDICS PLLC
Practice address
3319 Durham Chapel Hill Blvd
Durham, NC 27707-2650
Phone
(919) 383-9890
NPI assigned
Apr 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Scott Buckel, DONPI 1679776082
Title
Owner
Phone
(919) 402-3216

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

3319 Durham Chapel Hill Blvd
Durham, NC 27707-2650

Mailing address

15 Goldenrod PL
Durham, NC 27705-1351
Phone (919) 402-3216

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL EMR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210527001970 NC Part B Supplier - Clinic/Group Practice 2769881564 Receives reassigned benefits from 1 practitioner
Practice locations: Durham, NC

National Provider Directory

National Provider Directory

Locations

3319 Durham Chapel Hill Blvd
Durham, NC 27707
Phone (919) 383-9890

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1619395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619395200000",
    "number": "1114509551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 GOLDENROD PL",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277051351",
            "telephone_number": "919-402-3216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3319 DURHAM CHAPEL HILL BLVD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072650",
            "telephone_number": "919-383-9890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKEL ORTHOPEDICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-26",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A",
        "authorized_official_last_name": "BUCKEL",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-402-3216",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EMR",
            "affiliation": "N",
            "address_1": "3319 Durham Chapel Hill Blvd",
            "city": "Durham",
            "state": "NC",
            "country_code": "US",
            "postal_code": "277072650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.