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

Individual provider Pediatrics Physician · NPI 1316956774

Dr. Tara Kopp Bastek, MD is a Pediatrics Physician in Raleigh, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3000 New Bern Ave Neonatology Dept
Raleigh, NC 27610-1231
Phone: (919) 350-8545
Fax: (919) 350-8146
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Specialties & licences

Neonatal-Perinatal Medicine Physician (primary) Taxonomy 2080N0001X · Licence 9900162 (NC)
Pediatrics Physician Taxonomy 208000000X · Licence 9900162 (NC)

Record details

NPI number1316956774
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 5, 2006
Last updated in NPPESMarch 12, 2010

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