Active NPI
David Atwell Rendleman III, M.D.
- Orthopaedic Surgery Physician
- Raleigh, NC
National Provider Identifier
1417927435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 16932
- Practice address
- 3410 Executive Dr
Suite 103
Raleigh, NC 27609-7450 - Phone
- (919) 872-5296
- Fax
- (919) 850-9718
- NPI assigned
- Jan 23, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 16932 | NC | Primary |
Addresses
Primary practice location
3410 Executive Dr
Suite 103
Raleigh, NC 27609-7450
Mailing address
321 Cambridge Woods Way
Raleigh, NC 27608-1036
Phone (919) 781-2496
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8971261 | 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 |
|---|---|---|---|
| 16932 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1417927435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 CAMBRIDGE WOODS WAY",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276081036",
"telephone_number": "919-781-2496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3410 EXECUTIVE DR",
"address_2": "SUITE 103",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276097450",
"telephone_number": "919-872-5296",
"fax_number": "919-850-9718"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENDLEMAN",
"first_name": "DAVID",
"middle_name": "ATWELL",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-23",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NC",
"license": "16932",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8971261",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.