NPIMap

Organization Active NPI

Raleigh Durham Medical Group PA

Doing business as Brier Creek Family Practice

  • Family Medicine Physician
  • Raleigh, NC
National Provider Identifier
1760656045
Registry record updated Apr 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
RALEIGH DURHAM MEDICAL GROUP PA
Doing business as
Brier Creek Family Practice
Practice address
3721 Lynn Rd
Ste. 104
Raleigh, NC 27613-3854
Phone
(919) 510-5561
Fax
(919) 793-7189
NPI assigned
Apr 17, 2008
Last updated
Apr 17, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
RALEIGH DURHAM MEDICAL GROUP PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 17, 2008

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

Authorized official

Name
David K. Moye
Title
Senior Vice President
Phone
(919) 851-2174

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

3721 Lynn Rd
Ste. 104
Raleigh, NC 27613-3854

Mailing address

5400 Trinity Rd
Ste. 105
Raleigh, NC 27607-6001
Phone (919) 851-2174

Other names 1

  • Brier Creek Family Practice Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Raleigh Durham Medical Group PA66 organizations share this tax ID, including this one
Part of
Raleigh Durham Medical Group PA

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1760656045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 TRINITY RD",
            "address_2": "STE. 105",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076001",
            "telephone_number": "919-851-2174",
            "fax_number": "919-854-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3721 LYNN RD",
            "address_2": "STE. 104",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276133854",
            "telephone_number": "919-510-5561",
            "fax_number": "919-793-7189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALEIGH DURHAM MEDICAL GROUP PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RALEIGH DURHAM MEDICAL GROUP PA",
        "enumeration_date": "2008-04-17",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "MOYE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "919-851-2174"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brier Creek Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.