Organization
RALEIGH ORTHOPAEDIC CLINIC PA
Active
Other names
Raleigh Orthopaedic Therapy Services
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN SCOTT BIZUB (CEO)
(919) 863-6801
Entity
Organization
Contact information
Practice address
3001 EDWARDS MILL RD, SUITE 200, RALEIGH, NC 27612-5243
(919) 781-5600
(919) 863-6821
Mailing address
3001 EDWARDS MILL RD STE 200, RALEIGH, NC 27612-5243
(919) 781-5600
(919) 863-6821
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0281690001
MEDICARE DMERC
NC
05
—
8902500
—
NC
01
—
CA9791
RR MEDICARE
NC
Enumeration date
07/11/2005
Last updated
01/20/2023
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