DUKE DIET AND FITNESS (PDC) – NPI #1306078803
Internal Medicine

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

DUKE DIET AND FITNESS (PDC) is a provider located in DURHAM, NC. NPPES has assigned the NPI number 1306078803 to DUKE DIET AND FITNESS (PDC) on August 17, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “DUKE DIET AND FITNESS (PDC)” 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 207RE0101X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism

The NPI profile was previously updated about 4 years ago on May 15, 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 DIET AND FITNESS (PDC) below.

NPI Profile for
PRIVATE DIAGNOSTIC CLINIC, PLLC

NPI Number
1306078803
Enumeration Date

(about 17 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 DIET AND FITNESS (PDC)
Primary location
501 DOUGLAS ST
DURHAM, NC 27705-3888
Phone: (919) 684-8111 Fax:
Mailing address
PO BOX 110566
DURHAM, NC 27709-5566
Phone: (919) 620-4855 Fax: (919) 620-4921
Organization Subpart
No
Authorized Official
CHRISTOPHER FREDERICK
CFO
Phone: (919) 613-7762
Updated
Certification Date
May 15, 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
207RE0101X
- Internal Medicine / Endocrinology, Diabetes & Metabolism (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.