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

David Kishbaugh, DO

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1053374157

David Kishbaugh, DO is a Physical Medicine and Rehabilitation in Fayetteville, North Carolina. Graduated from Pennsylvania State University College of Medicine in 1983, 43 years ago. Practices with Raleigh Neurosurgical Clinic Inc, a 52-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
43
Trained at
Pennsylvania State University College of Medicine
Licensed in
NC
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2109 Valleygate Dr Ste 201
Fayetteville, NC 28304-3571
Phone: (910) 486-8880
Fax: (910) 486-8886
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 9500379 (NC)

Record details

NPI number1053374157
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 10, 2006
Last updated in NPPESFebruary 11, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolPENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 1983 (43 years in practice)
Group practice Raleigh Neurosurgical Clinic Inc — 52 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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