WAKE FOREST HEALTH NETWORK LLC
NPI 1124265236
Pediatrics in Bermuda Run, NC

Active since January 12, 2009
114 KINDERTON BLVD, BERMUDA RUN, NC 27006(336) 998-9742(336) 998-9410 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 8, 2023, Nov 3, 2023, Jul 12, 2022 (3 updates tracked since 2022).

About Wake Forest Health Network Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WAKE FOREST HEALTH NETWORK LLC (NPI 1124265236), doing business as Atrium Health Wake Forest Baptist Pediatrics - Bermuda Run, is a healthcare organization registered as a pediatrics in Bermuda Run, North Carolina and active in the NPI registry since January 2009. The organization lists Craig Michael Greven, Sr Vp Clinical Operations, as its authorized official.

NPPES Registry Identity

NPI1124265236
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameWAKE FOREST HEALTH NETWORK LLC
Location Address114 KINDERTON BLVDBermuda Run, NC 27006-7302
Mailing Address114 Kinderton BlvdBermuda Run, NC 27006-7302 · (336) 998-9742 · Fax (336) 998-9410
Fax(336) 998-9410
Organization SubpartNo
Authorized OfficialCraig Michael GrevenSr Vp Clinical Operations · (336) 716-1331
Enumeration DateJanuary 12, 2009
Last NPPES UpdateSeptember 25, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2025
NPI 1124265236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
114 KINDERTON BLVD, Bermuda Run, NC 27006

Other Names 1

Doing Business AsAtrium Health Wake Forest Baptist Pediatrics - Bermuda Run

Other Identifiers 5

OtherCB8658NC · Rr Medicare
OtherCC4241NC · Rr Medicare
OtherCD6614NC · Rr Medicare
Medicaid5912346NC
OtherCC4243NC · Rr Medicare

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Pediatrics)
114 KINDERTON BLVD
ADVANCE, NC 27006
Psychologist
114 KINDERTON BLVD
ADVANCE, NC 27006
Nurse Practitioner (Pediatrics)
114 KINDERTON BLVD
ADVANCE, NC 27006
Pediatrics
114 KINDERTON BLVD
ADVANCE, NC 27006
Nurse Practitioner (Pediatrics)
114 KINDERTON BLVD
ADVANCE, NC 27006
Physician Assistant
114 KINDERTON BLVD
ADVANCE, NC 27006
Pediatrics
114 KINDERTON BLVD
ADVANCE, NC 27006
Pediatrics
114 KINDERTON BLVD
ADVANCE, NC 27006

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wake Forest Health Network LLC's NPI number?

The NPI number for Wake Forest Health Network LLC is 1124265236. It was assigned to this organization in the NPPES registry on January 12, 2009. The provider is doing business as Atrium Health Wake Forest Baptist Pediatrics - Bermuda Run.

Where is Wake Forest Health Network LLC located?

Wake Forest Health Network LLC is located at 114 Kinderton Blvd, Bermuda Run, NC 27006. The listed phone number is (336) 998-9742.

What is Wake Forest Health Network LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Wake Forest Health Network LLC accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC list Wake Forest Health Network LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wake Forest Health Network LLC was last updated on September 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.