Organization
RALEIGH ORTHOPAEDIC CLINIC PA
Active
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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