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: October 25, 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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wake Forest Health Network Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

582

Medicare enrollment records show 582 clinicians reassign Medicare billing to Wake Forest Health Network LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 57 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 42

Diagnostic Radiology141
Nurse Practitioner98
Family Practice67
Internal Medicine43
Pediatric Medicine24
Hospitalist21
Neurology17
Obstetrics/Gynecology16
34 other specialties155

Nearest to this location (20)

See all 582
Nurse Practitioner
NPI 1639525199
114 KINDERTON BLVD
Advance, NC 27006
(336) 998-9742
✔ PECOSSame address
Pediatric Medicine
NPI 1801187059
114 KINDERTON BLVD
Advance, NC 27006
(336) 998-9742
✔ PECOSSame address
Nurse Practitioner
NPI 1508155169
114 KINDERTON BLVD
Advance, NC 27006
(336) 998-9742
✔ PECOSSame address
Plastic and Reconstructive Surgery
NPI 1144494931
6318 JESSIE LN
Clemmons, NC 27012
(336) 355-0353
✔ PECOS2.8 mi
Family Practice
NPI 1437199197
2311 LEWISVILLE CLEMMONS RD
Clemmons, NC 27012
(336) 716-2255
✔ PECOS✔ Accepts Medicare3.1 mi
Nurse Practitioner
NPI 1942524913
2311 LEWISVILLE CLEMMONS RD
Clemmons, NC 27012
(336) 713-8900
✔ PECOS✔ Accepts Medicare3.1 mi
Nurse Practitioner
NPI 1285093260
132 ASHLEY FURNITURE WAY
Advance, NC 27006
(336) 713-8948
✔ PECOS✔ Accepts Medicare4.0 mi
Family Practice
NPI 1477716710
6630 SHALLOWFORD RD
Lewisville, NC 27023
(336) 716-2055
✔ PECOS5.8 mi
Nurse Practitioner
NPI 1720494701
2337 WINTERHAVEN LN
Winston Salem, NC 27103
(336) 774-0044
✔ PECOS6.2 mi
Internal Medicine
NPI 1598029704
4614 COUNTRY CLUB RD
Winston Salem, NC 27104
(336) 716-3787
✔ PECOS✔ Accepts Medicare7.0 mi
Podiatry
NPI 1780638700
3641 WESTGATE CENTER CIR STE A
Winston Salem, NC 27103
(336) 277-6550
✔ PECOS✔ Accepts Medicare7.6 mi
Cardiovascular Disease (Cardiology)
NPI 1962469049
186 KIMEL PARK DR
Winston Salem, NC 27103
(336) 277-2000
✔ PECOS✔ Accepts Medicare7.7 mi
Urology
NPI 1679535173
140 KIMEL PARK DR
Winston-salem, NC 27103
(336) 245-2100
✔ PECOS✔ Accepts Medicare7.9 mi
Neurology
NPI 1205879558
145 KIMEL PARK DR SUITE 100
Winston-salem, NC 27103
(336) 768-6347
✔ PECOS✔ Accepts Medicare7.9 mi
Physical Therapist in Private Practice
NPI 1497597215
1901 MOONEY ST
Winston Salem, NC 27103
(336) 716-8091
✔ Accepts Medicare8.2 mi
Hospitalist
NPI 1255383428
3333 SILAS CREEK PKWY
Winston Salem, NC 27103
(336) 718-7080
✔ PECOS✔ Accepts Medicare8.5 mi
Allergy/Immunology
NPI 1932427952
200 CHARLOIS BLVD STE 250
Winston Salem, NC 27103
(336) 716-4332
✔ PECOS✔ Accepts Medicare8.5 mi
Clinical Psychologist
NPI 1932833282
3325 SILAS CREEK PKWY
Winston Salem, NC 27103
(336) 713-4500
✔ PECOS8.5 mi
Pediatric Medicine
NPI 1235313081
2933 MAPLEWOOD AVE STE 1
Winston Salem, NC 27103
(336) 379-9445
✔ PECOS8.9 mi
Vascular Surgery
NPI 1902089345
2827 LYNDHURST AVE SUITE 203
Winston Salem, NC 27103
(336) 794-8624
✔ PECOS✔ Accepts Medicare8.9 mi
See all 582 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Is Wake Forest Health Network LLC enrolled in Medicare?

Yes. Wake Forest Health Network LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wake Forest Health Network LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 582 clinicians in 42 Medicare specialties reassign their Medicare billing to Wake Forest Health Network LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Diagnostic Radiology (141), Nurse Practitioner (98) and Family Practice (67). Of these, 3 practice at this address and 57 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Wake Forest Health Network LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and AmeriHealth Caritas Next and 1 other insurer 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 13 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.