RALEIGH DURHAM MEDICAL GROUP, PA (NPI# 1902264435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902264435 |
| Entity Type | Organization |
| Organization Name | RALEIGH DURHAM MEDICAL GROUP, PA |
| Other Organization Name | LARRY F. BERMAN, MD, PC |
| Practice Address |
10620 Park Rd Suite 128 Charlotte NC 28210-8472 |
| Mailing Address |
5420 Wade Park Blvd Ste 106 Raleigh NC 27607-4188 |
| Practice Telephone | 7045426111 |
| Practice Fax Number | 7045421239 |
| Mailing Telephone | 9192335952 |
| Mailing Fax Number | 9198547774 |
| Enumeration Date | 2016-01-28 |
| Last Update Date | 2016-01-28 |
| Authorized Official Name | DAVID MOYE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9192335956 |
| Is Organization Subpart | Y |
| Parent Organization Name | RALEIGH DURHAM MEDICAL GROUP, PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Larry F. Berman, MD, PC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720458326 | Raleigh Durham Medical Group, Pa | Nurse Practitioner | 4748 Main Street, Shallotte, NC 28470 | 2015-09-25 |
| 1437553302 | Raleigh Durham Medical Group, Pa | Family Medicine | 620 Dr Calvin Jones Highway, Ste 212, Wake Forest, NC 27587 | 2014-10-21 |
| 1891025243 | Raleigh Durham Medical Group, Pa | Family Medicine | 220 Ridgefield Ct, Asheville, NC 28806-2209 | 2010-01-07 |
| 1932661246 | Raleigh Durham Medical Group, Pa | Pediatrics | 8300 Health Park Ste 213, Raleigh, NC 27615-4731 | 2019-04-04 |
| 1013371061 | Raleigh Durham Medical Group, Pa | Physician Assistant | 410 Canterbury Rd, Smithfield, NC 27577-4861 | 2016-04-06 |
| 1023473519 | Raleigh Durham Medical Group, Pa | Nurse Practitioner | 304 S Green St, Morganton, NC 28655-3578 | 2015-12-28 |
| 1609248723 | Raleigh Durham Medical Group, Pa | Pediatrics | 10010 Falls of Neuse Rd, Ste 100, Raleigh, NC 27614-8494 | 2015-10-28 |
| 1518335447 | Raleigh Durham Medical Group, Pa | Family Medicine | 3164 Us Highway 70, Black Mountain, NC 28711-6302 | 2015-09-09 |
| 1407252505 | Raleigh Durham Medical Group, Pa | Family Medicine | 1038 Albemarle Rd, Troy, NC 27371-8684 | 2014-11-17 |
| 1023413523 | Raleigh Durham Medical Group, Pa | Internal Medicine | 5816 Creedmoor Rd, Ste 105, Raleigh, NC 27612-2310 | 2014-10-27 |
| Street Address |
10620 PARK RD SUITE 128 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28210-8472 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508869835 | Larry F. Berman | Internal Medicine | 10620 Park Rd, Ste 128, Charlotte, NC 28210-8472 | 2005-05-31 |
| 1154872315 | Rdmg Associates Pa | Physician Assistant | 10620 Park Rd, Ste 128, Charlotte, NC 28210-8472 | 2016-10-21 |
| 1831649854 | Marianne Katerina Gross | Physical Therapist | 10620 Park Rd, #200, Charlotte, NC 28210-8472 | 2016-10-13 |
| 1336538511 | Amy Elizabeth Lukacs | Speech-Language Pathologist | 10620 Park Rd, #200, Charlotte, NC 28210-8472 | 2015-01-12 |
| 1740688506 | Katherine Dillinger | Physical Therapist | 10620 Park Rd, Charlotte, NC 28210-8472 | 2014-12-10 |
| 1962809160 | Amanda Penegar | Physician Assistant | 10620 Park Rd, Suite 102, Charlotte, NC 28210-8472 | 2014-12-03 |
| 1922347806 | Carolinas Physicians Network Inc | Family Medicine | 10620 Park Rd, Building 400, Charlotte, NC 28210-8472 | 2013-02-12 |
| 1154654549 | Lynda S Greene | Physical Therapist | 10620 Park Rd, Charlotte, NC 28210-8472 | 2009-09-16 |
| 1407095631 | Athena Markella Kortesis | Nurse Practitioner | 10620 Park Rd, Suite 128, Charlotte, NC 28210-0106 | 2009-02-11 |
| 1821234493 | Suzanne M Emory | Occupational Therapist | 10620 Park Rd, Charlotte, NC 28210-8472 | 2009-01-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952920860 | Rx Care 14 LLC | Pharmacy | 7701 Sharon Lakes Road, Suite H, Charlotte, NC 28210 | 2020-04-10 |
| 1427697622 | David Durant Dinsmore | Nurse Anesthetist, Certified Registered | Atrium Health Pineville, 10628 Park Road, Charlotte, NC 28210 | 2020-01-06 |
| 1790256964 | Tele Phys Inc | Internal Medicine | 10035 Park Center Dr., Ste 100, Charlotte, NC 28210 | 2018-12-16 |
| 1104395896 | Bridgett Williams | Behavior Technician | 7806 Andover Woods Drive, Charlotte, NC 28210 | 2018-11-26 |
| 1053880518 | Low-t Physicians Professional Association | Internal Medicine | 10430 Park Road Suite 100a, Charlotte, NC 28210 | 2018-11-14 |
| 1053895102 | Carolinas Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 7701 Sharon Lakes Blvd, Ste A., Charlotte, NC 28210 | 2018-09-24 |
| 1679066658 | Afc Urgent Care and Family Care of Wnc, Pllc | Clinic/Center | 10102 Johnston Rd, Charlotte, NC 28210 | 2018-06-13 |
| 1346777018 | Hopeway Foundation | Clinic/Center | 1717 Sharon Road West, Charlotte, NC 28210 | 2017-05-12 |
| 1891154688 | Jessie Lee Ogienko | Social Worker | 5960 Fairview Rd Ste 328, Charlotte, NC 28210 | 2016-02-22 |
| 1699151985 | Carolina Complete Psychiatry, Pllc | Physician Assistant | 5950 Fairview Road, Suite 708, Charlotte, NC 28210 | 2015-08-10 |
| Find all providers in zip 28210 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932722980 | Carolinas Physicians Network Inc | Internal Medicine | 2041 South Blvd, Ste 100, Charlotte, NC 28203-5062 | 2020-05-26 |
| 1538700745 | Geriatric Care of The Carolinas, Pllc | Internal Medicine | 6001 Graburns Ford Dr, Charlotte, NC 28269-7120 | 2019-09-30 |
| 1477100683 | Carolinas Physicians Network Inc | Internal Medicine | 9325 Jw Clay Blvd, Ste 221, Charlotte, NC 28262-5411 | 2019-08-22 |
| 1972169977 | Iora Health North Carolina, P.C. | Internal Medicine | 8332 Pineville Matthews Rd Ste 205, Charlotte, NC 28226-3765 | 2019-05-15 |
| 1700345105 | Carolinas Physicians Network Inc | Internal Medicine | 2109 Randolph Rd, Charlotte, NC 28207-1521 | 2019-03-15 |
| 1790256964 | Tele Phys Inc | Internal Medicine | 10035 Park Center Dr., Ste 100, Charlotte, NC 28210 | 2018-12-16 |
| 1053880518 | Low-t Physicians Professional Association | Internal Medicine | 10430 Park Road Suite 100a, Charlotte, NC 28210 | 2018-11-14 |
| 1033698527 | Novant Medical Group, Inc | Internal Medicine | 8201 Healthcare Loop Ste 304, Charlotte, NC 28215 | 2018-08-07 |
| 1588166060 | Allcare Medical Center,pllc | Internal Medicine | 7401 The Plaza, Charlotte, NC 28215 | 2018-03-01 |
| 1083137616 | Sc Med LLC | Internal Medicine | 10436 Winslet Dr, Charlotte, NC 28277-2956 | 2017-07-25 |
| Find all providers in CHARLOTTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.