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

David Petrovich Rusev

Individual provider Emergency Medicine Physician · NPI 1104468966

David Petrovich Rusev is a Physician Assistant in Concord, North Carolina. Qualified in 2020, 6 years ago. Practices with Wake Forest Emergency Providers, a 489-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in North Carolina and Pennsylvania.

Years since qualifying
6
Licensed in
NC, PA
In the registry since
2019
Specialties on file
3

Practice location Address checks out

920 Church St N
Concord, NC 28025-2927
Phone: (704) 403-3000
Show map & directions

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

Additional practice locations (3)

  • 5501 Old York Rd Ste 1, Philadelphia, PA 19141-3098 — (215) 456-3834
  • 4311 11th Ave Ne Ste 200, Seattle, WA 98105-6367 — (206) 616-4001
  • 1959 Ne Pacific St, Seattle, WA 98195-0001 — (206) 543-7212

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-12804 (NC)
Emergency Medicine Physician Taxonomy 207P00000X · Licence MA06250 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1104468966
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 14, 2019
Last updated in NPPESJuly 19, 2024
Certification dateJuly 19, 2024
Mailing addressPo Box 896244, Charlotte, NC 28289-6244

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Wake Forest Emergency Providers — 489 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Concord