Raleigh Pediatric Associates, PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

RALEIGH PEDIATRIC ASSOCIATES, PA

Practice address

1921 Falls Valley Dr
Raleigh, NC 27615-3446

Phone

(919) 872-0250

NPI assigned

Oct 26, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jerry C. Bernstein, M.D.NPI 1225063217

Title

Physician Owner

Phone

(919) 872-0250

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 13

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.

• Karen Emily Fieselman Stroud, M.D.

  • Pediatrics Physician
  • Washington, NC
  • NPI 1376981944
  Medicare reassignment NPD
• James Randy Hedgepeth, MD

  • Pediatrics Physician
  • Garner, NC
  • NPI 1760417752
  Medicare reassignment NPD
• James W Britt, MD

  • Pediatrics Physician
  • Raleigh, NC
  • NPI 1588699573
  Medicare reassignment
• Frederick Allen Hewett, MD

  • Pediatrics Physician
  • Raleigh, NC
  • NPI 1629003603
  Medicare reassignment
• Jeffrey Johnson, MD

  • Pediatrics Physician
  • Garner, NC
  • NPI 1396770384
  Medicare reassignment
• Walter Koscielniak, MD

  • Pediatrics Physician
  • Raleigh, NC
  • NPI 1679508642
  Medicare reassignment
• John Rusher, MD

  • Pediatrics Physician
  • Raleigh, NC
  • NPI 1134154123
  Medicare reassignment
• Melinda Taylor, MD

  • Pediatrics Physician
  • Garner, NC
  • NPI 1477588465
  Medicare reassignment
• Jerry Bernstein, MD

  • Pediatrics Physician
  • Raleigh, NC
  • NPI 1225063217
  Authorized official Same address or phone
• Brooke Ann Gloria, MD

  • Pediatrics Physician
  • Raleigh, NC
  • NPI 1518543305
  NPD
• Samantha Leigh Olsen McClease, MD

  • Pediatrics Physician
  • Raleigh, NC
  • NPI 1912494212
  NPD
• Jeremy Yates, DO

  • Pediatrics Physician
  • Garner, NC
  • NPI 1235699539
  NPD

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1508941535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 FALLS VALLEY DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153446",
            "telephone_number": "919-872-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 FALLS VALLEY DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153446",
            "telephone_number": "919-872-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALEIGH PEDIATRIC ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BERNSTEIN",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "919-872-0250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Pediatrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.