DUKE CARDIOLOGY PEMBROKE – NPI #1073860045
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Health Care Provider Taxonomy Code for Internal Medicine

DUKE CARDIOLOGY PEMBROKE is a provider located in PEMBROKE, NC. NPPES has assigned the NPI number 1073860045 to DUKE CARDIOLOGY PEMBROKE on August 09, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “DUKE CARDIOLOGY PEMBROKE” is a dba name, the actual legal business name for this organization is PRIVATE DIAGNOSTIC CLINIC, PLLC. The primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 4 years ago on May 13, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DUKE CARDIOLOGY PEMBROKE below.

NPI Profile for
PRIVATE DIAGNOSTIC CLINIC, PLLC

NPI Number
1073860045
Enumeration Date

(about 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PRIVATE DIAGNOSTIC CLINIC, PLLC
Doing Business As (dba): DUKE CARDIOLOGY PEMBROKE
Primary location
812 CANDY PARK RD
PEMBROKE, NC 28372-9129
Phone: (910) 671-6619 Fax:
Mailing address
PO BOX 110566
DURHAM, NC 27709-5566
Phone: (919) 620-4855 Fax: (919) 620-4921
Organization Subpart
No
Authorized Official
VALLA WILSON
CHIEF COMPLIANCE, PRIVACY & AUDIT
Phone: (919) 668-5161
Updated
Certification Date
May 13, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.