Active NPI
Rebecca H. Buckley, MD
- Pediatric Allergy/Immunology Physician
- Durham, NC
National Provider Identifier
1619042736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Allergy/Immunology Physician
- License
- 11124
- Practice address
- 4101 N Roxboro St
362 Jones Building Duke University Medical Center
Durham, NC 27704-2121 - Phone
- (919) 684-8111
- Fax
- (919) 681-7979
- NPI assigned
- Nov 22, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Allergy/Immunology Physician | 2080P0201X | 11124 | NC | Primary |
Addresses
Primary practice location
4101 N Roxboro St
362 Jones Building Duke University Medical Center
Durham, NC 27704-2121
Mailing address
4101 N Roxboro St
Durham, NC 27704-2121
Phone (919) 684-8111
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19470 | Other | NC | BCBS |
| 8919470 | 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)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- rbuckley58214@direct.medicine.duke.edu
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1619042736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4101 N ROXBORO ST",
"city": "DURHAM",
"state": "NC",
"postal_code": "277042121",
"telephone_number": "919-684-8111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4101 N ROXBORO ST",
"address_2": "362 JONES BUILDING DUKE UNIVERSITY MEDICAL CENTER",
"city": "DURHAM",
"state": "NC",
"postal_code": "277042121",
"telephone_number": "919-684-8111",
"fax_number": "919-681-7979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCKLEY",
"first_name": "REBECCA",
"middle_name": "H.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-22",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0201X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Allergy/Immunology",
"state": "NC",
"license": "11124",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "19470",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8919470",
"state": "NC"
}
],
"endpoints": [],
"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 Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.