Organization Active NPI

Raleigh Orthopaedic Clinic PA

Doing business as Raleigh Orthopaedic Therapy Services

  • Orthopaedic Surgery Physician
  • Raleigh, NC
National Provider Identifier
1235137563
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
RALEIGH ORTHOPAEDIC CLINIC PA
Doing business as
Raleigh Orthopaedic Therapy Services
Practice address
3001 Edwards Mill Rd
Suite 200
Raleigh, NC 27612-5243
Phone
(919) 781-5600
Fax
(919) 863-6821
NPI assigned
Jul 11, 2005
Last updated
Jan 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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

Authorized official

Name
Brian Scott Bizub
Title
Ceo
Phone
(919) 863-6801

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X Primary

Addresses

Primary practice location

3001 Edwards Mill Rd
Suite 200
Raleigh, NC 27612-5243

Mailing address

3001 Edwards Mill Rd Ste 200
Raleigh, NC 27612-5243
Phone (919) 781-5600

Other identifiers 3

IdentifierTypeStateIssuer
0281690001OtherNCMEDICARE DMERC
CA9791OtherNCRR MEDICARE
8902500MedicaidNC

Other names 1

  • Raleigh Orthopaedic Therapy Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040714000258 NC Part B Supplier - Clinic/Group Practice 9032012638 Receives reassigned benefits from 148 practitioners
1 other NPI on this enrollment
Practice locations: Knightdale, NC; Raleigh, NC; Morrisville, NC; Holly Springs, NC; Clayton, NC; Cary, NC; Garner, NC
O20100930033462 NC DME Supplier - Physician - Orthopedic/Orthopedic Surgery 9032012638 Practice locations: Raleigh, NC

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

280 Towerview Ct
Cary, NC 27513
Phone (919) 380-7171

5028 Arco St
Cary, NC 27519

5037 Arco St
Cary, NC 27519

6715 McCrimmon Pkwy
Ste 208
Cary, NC 27519

20 Neuse Riv Pkwy Ste 14
Clayton, NC 27527

50 Neuse River Pkwy
Clayton, NC 27527
Phone (919) 553-5945

50 Neuse River Pkwy
Ste 14
Clayton, NC 27527

109 Forest Hills Dr
Garner, NC 27529
Phone (919) 863-6939

109 Forest Hills Dr
Ste 20
Garner, NC 27529

1325 Timber Dr E
Ste 200
Garner, NC 27529

817 N Smithfield Rd
Knightdale, NC 27545
Phone (919) 217-8188

1105 Copeland Oaks Dr
Morrisville, NC 27560
Phone (919) 614-1923

11200 Governor Manly Way
Ste 304
Raleigh, NC 27614
Phone (910) 997-3733

11200 Governor Manly Way
Ste 309
Raleigh, NC 27614
Phone 9195629410247

2400 Sumner Blvd
Raleigh, NC 27616
Phone (919) 876-1100

3001 Edwards Mill Rd
Ste 200
Raleigh, NC 27612
Phone (919) 863-6852

3209 Gresham Lake Rd
Ste 135
Raleigh, NC 27615
Phone (919) 876-1100

3633 Harden Rd
Ste 120
Raleigh, NC 27607

Practitioners & affiliated clinicians

Practitioners 155

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 155

NPI Registry JSON

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674172800000",
    "number": "1235137563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 EDWARDS MILL RD STE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276125243",
            "telephone_number": "919-781-5600",
            "fax_number": "919-863-6821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 EDWARDS MILL RD",
            "address_2": "SUITE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276125243",
            "telephone_number": "919-781-5600",
            "fax_number": "919-863-6821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALEIGH ORTHOPAEDIC CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-11",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A",
        "authorized_official_last_name": "BIZUB",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-863-6801"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DMERC",
            "identifier": "0281690001",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CA9791",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8902500",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Raleigh Orthopaedic Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Raleigh Orthopaedic Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; 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.