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

Wake Forest Health Network LLC

Organization Pediatrics Physician · NPI 1124265236

Wake Forest Health Network LLC is a Pediatrics Physician in Bermuda Run, North Carolina. Registered with an NPI since 2009.

In the registry since
2009
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

114 Kinderton Blvd
Bermuda Run, NC 27006-7302
Phone: (336) 998-9742
Fax: (336) 998-9410
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1124265236
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Craig Greven — Sr Vp Clinical Operations · (336) 716-1331
Other names Atrium Health Wake Forest Baptist Pediatrics - Bermuda Run
NPI enumeratedJanuary 12, 2009
Last updated in NPPESSeptember 25, 2025
Certification dateSeptember 25, 2025
Mailing address114 Kinderton Blvd, Bermuda Run, NC 27006-7302