Individual provider Active NPI

Maurice Bienenfeld, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Cary, NC
National Provider Identifier
1528021631
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
9600863 Issued in NC
Practice address
3750 NW Cary Pkwy Ste 120
Cary, NC 27513-8432
Phone
(919) 650-6111
Fax
(919) 439-4924
NPI assigned
Apr 10, 2006
Last updated
Jun 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 9600863 NC Primary

Addresses

Primary practice location

3750 NW Cary Pkwy Ste 120
Cary, NC 27513-8432

Mailing address

3750 NW Cary Pkwy Ste 120
Cary, NC 27513-8432
Phone (919) 650-6111

Other identifiers 6

IdentifierTypeStateIssuer
0402628OtherUHC/UHC MEDICARE
891006HMedicaidNC
1006HOtherNCBCBS OF NC
110142968OtherRAILROAD MEDICARE
7812348OtherAETNA
16833OtherPARTNERS INSURANCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070223000168 NC Practitioner - Internal MedicinePractitioner - Geriatric Medicine 3274431804 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Hahnemann University College of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

2701 Pickett Rd
Durham, NC 27705-5688
Phone (919) 419-9600

3750 NW Cary Pkwy
Suite 120
Cary, NC 27513-8432
Phone (919) 650-6111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Bienenfeld MD PA Geriatric Medicine CurrentSince Sep 5, 2000 Accepting new patients

Locations

1505 SW Cary Pkwy
Ste 308
Cary, NC 27511
Phone (919) 303-1072

3750 NW Cary Pkwy
Ste 120
Cary, NC 27513
Phone (919) 439-8580

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1528021631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 NW CARY PKWY STE 120",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275138432",
            "telephone_number": "919-650-6111",
            "fax_number": "919-439-4924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 NW CARY PKWY STE 120",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275138432",
            "telephone_number": "919-650-6111",
            "fax_number": "919-439-4924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIENENFELD",
        "first_name": "MAURICE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NC",
            "license": "9600863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC/UHC MEDICARE",
            "identifier": "0402628",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891006H",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "1006H",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110142968",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7812348",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS INSURANCE",
            "identifier": "16833",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.