Active NPI
David Tulloch Durack, M.D.
- Infectious Disease Physician
- Durham, NC
National Provider Identifier
1750425724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 22337
- Practice address
- 1700 Woodstock Rd
Durham, NC 27705-5232 - Phone
- (919) 401-4848
- Fax
- (919) 402-9915
- NPI assigned
- Feb 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 22337 | NC | Primary |
Addresses
Primary practice location
1700 Woodstock Rd
Durham, NC 27705-5232
Mailing address
1700 Woodstock Rd
Durham, NC 27705-5232
Phone (919) 401-4848
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 |
|---|---|---|---|
| 22337 | NC | MD | Infectious Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1750425724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 WOODSTOCK RD",
"city": "DURHAM",
"state": "NC",
"postal_code": "277055232",
"telephone_number": "919-401-4848",
"fax_number": "919-402-9915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 WOODSTOCK RD",
"city": "DURHAM",
"state": "NC",
"postal_code": "277055232",
"telephone_number": "919-401-4848",
"fax_number": "919-402-9915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURACK",
"first_name": "DAVID",
"middle_name": "TULLOCH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "NC",
"license": "22337",
"primary": true
}
],
"identifiers": [],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.