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

Raleigh Neurosurgical Clinic, Inc

Organization Pain Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1295612505

Raleigh Neurosurgical Clinic, Inc is a Pain Medicine (Physical Medicine & Rehabilitation) Physician in Charlotte, North Carolina. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12610 N Community House Rd Ste 200
Charlotte, NC 28277-4137
Phone: (919) 785-3400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081P2900X

Record details

NPI number1295612505
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacob Rodman — Ceo · (919) 785-3400
NPI enumeratedAugust 19, 2025
Last updated in NPPESAugust 19, 2025
Certification dateAugust 19, 2025
Mailing address5241 Six Forks Rd Ste 100, Raleigh, NC 27609-4431

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