Wake Forest Health Network Llc
Pediatrics
Wake Forest Health Network Llc is a Bermuda Run, North Carolina based Pediatric center with medical specialization in
General Pediatrics. Wake Forest Health Network Llc is doing business as
Pediatrics - Bermuda Run.
It is located at
114 Kinderton Blvd, Bermuda Run, North Carolina - 27006-7302. They can be contacted on phone at
336-998-9742 and fax number 336-998-9410.
NPI number (Unique professional ID) for Wake Forest Health Network Llc is
1124265236 which was assigned by NPPES on 12 Jan, 2009 and it was last updated on 12 Jul, 2022.
Wake Forest Health Network Llc is a pediatrician who 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.
Complete Profile:
Wake Forest Health Network Llc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Wake Forest Health Network Llc |
|---|
| Other Name : | Pediatrics - Bermuda Run |
|---|
Business Address:
Wake Forest Health Network Llc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 114 Kinderton Blvd
Bermuda Run, NC, 27006-7302
United States |
|---|
| Phone Number : | 336-998-9742 |
|---|
| Fax Number : | 336-998-9410 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1124265236 |
|---|
| NPI Entity Type : | Organization |
|---|
| First Enrolment Date : | 12 Jan, 2009 |
|---|
| Last Updated On : | 12 Jul, 2022 |
|---|
Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Russellmars Howerton |
|---|
| Official Title or Position : | SR VP NETWORK PHYS & HS CMO |
|---|
| Phone Number : | 336-716-1331 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Wake Forest Health Network Llc are as mentioned. Primary taxonomy code for Wake Forest Health Network Llc is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | | |
Legacy Identifiers:
Other legacy medical identifiers of Wake Forest Health Network Llc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| CD6614 | Other | NC | RR MEDICARE |
| 5912346 | MEDICAID | NC | |
| CB8658 | Other | NC | RR MEDICARE |
| CC4241 | Other | NC | RR MEDICARE |
| CC4243 | Other | NC | RR MEDICARE |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 100 Kimel Forest Dr
Winston Salem, NC, 27103-6074
United States |
|---|
| Phone Number : | 336-716-1331 |
|---|
| Fax Number : | 336-716-3202 |
|---|
Business Location:
Patients can refer following map for directions to
Wake Forest Health Network Llc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.