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PEDIATRIC UROLOGY OF NORTH CAROLINA
NPI 1780601120
Urology - Pediatric Urology in Raleigh, NC

Active since July 15, 2006
2406 BLUE RIDGE RD, SUITE 190, RALEIGH, NC 27607(919) 785-1888 Get Directions Write a Review

NPPES record last updated: February 4, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Pediatric Urology Of North Carolina NPPES

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

PEDIATRIC UROLOGY OF NORTH CAROLINA (NPI 1780601120) is a healthcare organization registered as a pediatric urology in Raleigh, North Carolina and active in the NPI registry since July 2006. The organization lists Timothy P Bukowski, President, as its authorized official.

NPPES Registry Identity

NPI1780601120
Entity TypeOrganization
Primary Taxonomy2088P0231X
Legal Business NamePEDIATRIC UROLOGY OF NORTH CAROLINA
Location Address2406 BLUE RIDGE RD, SUITE 190Raleigh, NC 27607-6678
Mailing Address2406 Blue Ridge Rd, Suite 190Raleigh, NC 27607-6678 · (919) 785-1888
Phone(919) 785-1888
Organization SubpartNo
Authorized OfficialTimothy P BukowskiPresident · (919) 785-1888
Enumeration DateJuly 15, 2006
Last NPPES UpdateFebruary 4, 2008
✔ NPI 1780601120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrology · Pediatric UrologyAllopathic & Osteopathic Physicians
Taxonomy Code2088P0231X
License✔ Licensed in NC · 9500849
Definition

Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).

2406 BLUE RIDGE RD, Raleigh, NC 27607
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Other Identifiers 1

Medicare PIN2212843ANC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

DR. ROBERT GORDON JEFFERS MD
Pediatrics (Adolescent Medicine)
2406 BLUE RIDGE RD, SUITE 100
RALEIGH, NC 27607
Wake County (919) 786-5001
DR. BRIDGET MCNAMARA DEGELE M.D.
Pediatrics (Adolescent Medicine)
2406 BLUE RIDGE RD, SUITE 100
RALEIGH, NC 27607
Wake County (919) 786-5001
DR. MICHAEL SCOTT ARTMAN M.D.
Pediatrics (Adolescent Medicine)
2406 BLUE RIDGE RD, SUITE 100
RALEIGH, NC 27607
Wake County (919) 786-5001
DR. VICTORIA MARGARET HERRIOTT M.D.
Pediatrics (Adolescent Medicine)
2406 BLUE RIDGE RD, SUITE 100
RALEIGH, NC 27607
Wake County (919) 786-5001
DR. T. CHRISTINE LEHRICH M.D.
Pediatrics (Adolescent Medicine)
2406 BLUE RIDGE RD, SUITE 100
RALEIGH, NC 27607
Wake County (919) 786-5001
DR. JULIANA JACKSON CLARK M.D.
Pediatrics (Adolescent Medicine)
2406 BLUE RIDGE RD, SUITE 100
RALEIGH, NC 27607
Wake County (919) 786-5001
DR. LARRY DOUGLAS MANN M.D.
Pediatrics (Adolescent Medicine)
2406 BLUE RIDGE RD, SUITE 100
RALEIGH, NC 27607
Wake County (919) 786-5001
DR. HAROLD PAYNE OVERCASH M.D.
Pediatrics (Adolescent Medicine)
2406 BLUE RIDGE RD, SUITE 100
RALEIGH, NC 27607
Wake County (919) 786-5001

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 Pediatric Urology Of North Carolina's NPI number?

The NPI number for Pediatric Urology Of North Carolina is 1780601120. It was assigned to this organization in the NPPES registry on July 15, 2006.

Where is Pediatric Urology Of North Carolina located?

Pediatric Urology Of North Carolina is located at 2406 Blue Ridge Rd Suite 190, Raleigh, NC 27607. The listed phone number is (919) 785-1888.

What is Pediatric Urology Of North Carolina's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

When was this NPI record last updated?

The NPPES record for Pediatric Urology Of North Carolina was last updated on February 4, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.