Durham Physicians, PA

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

21234 Issued in NC

Legal business name

DURHAM PHYSICIANS, PA

Practice address

305 Brook Chase LN
Durham, NC 27705-2482

Phone

(919) 383-3388

Fax

(919) 383-9140

NPI assigned

Mar 13, 2008

Organization subpart

No

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

Authorized official

Name

Robert Dougla Stewart, MD

Title

Owner

Phone

(919) 383-3388

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1710158159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 BROOK CHASE LN",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277052482",
            "telephone_number": "919-383-3388",
            "fax_number": "919-383-9140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 BROOK CHASE LN",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277052482",
            "telephone_number": "919-383-3388",
            "fax_number": "919-383-9140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DURHAM PHYSICIANS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-13",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "DOUGLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-383-3388",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NC",
            "license": "21234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7901439",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "01439",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Durham Manor, LLC
• Durham Nephrology Associates PA
• Durham Neurology PLLC
• Durham Operator LLC
• Durham Pediatric Psychology, P.a.
• Durham Psych PLLC
• Durham Public Schools
• Durham Public Schools
• Durham Radiology Associates, Inc.
• Durham Regional Spine Center

• Geriatric Medicine (Internal Medicine) Physician in Durham, NC
• Providers in Durham, NC by specialty
• Geriatric Medicine (Internal Medicine) Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.