Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

North Carolina Central University

Organization Family Medicine Physician · NPI 1508237850

North Carolina Central University is a Family Medicine Physician in Durham, North Carolina. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
2

Practice location Address checks out

1801 Fayetteville St
Durham, NC 27707-3129
Phone: (919) 530-6215
Fax: (972) 367-3451
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Orthopaedic Surgery Physician Taxonomy 207X00000X

Record details

NPI number1508237850
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mouzon Bass — Agent · (972) 367-4845
Other names Nccu Sports Medicine
NPI enumeratedOctober 13, 2015
Last updated in NPPESOctober 13, 2015
Mailing addressPo Box 650850, Dept 1011, Dallas, TX 75265-0850

Other providers in Durham