Organization
DURHAM NEPHROLOGY ASSOCIATES PA
Active
Other names
Durham Nephrology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES IAN COOPERBERG MD (PRESIDENT)
(919) 477-3005
Entity
Organization
Contact information
Practice address
4419 BEN FRANKLIN BLVD, DURHAM, NC 27704-2147
(919) 477-3005
(919) 477-5526
Mailing address
4419 BEN FRANKLIN BLVD, DURHAM, NC 27704-2147
(919) 477-3005
(919) 477-5526
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0166C
BLUE CROSS BLUE SHIELD
NC
05
—
890166C
—
NC
01
—
CG4698
MEDICARE RAILROAD
—
Enumeration date
10/17/2006
Last updated
04/30/2019
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