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

Paul Beomsoo Park, MD

Individual provider Surgery Physician · NPI 1407065477

Paul Beomsoo Park, MD is a General Surgery in Raleigh, North Carolina. Graduated from Un of California, Irvine, College of Medicine in 2007, 19 years ago. Practices with North Carolina Mg LLC, a 712-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan and North Carolina.

Years since qualifying
19
Trained at
Un of California, Irvine, College of Medicine
Licensed in
MI, NC
In the registry since
2007
Specialties on file
3
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

2800 Blue Ridge Rd Ste 300
Raleigh, NC 27607
Phone: (919) 784-7874
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1500 E Medical Center Dr, Ann Arbor, MI 48109-5332 — (734) 936-5738
  • 11200 Governor Manly Way Ste 208, Raleigh, NC 27614-7360 — (919) 784-7874
  • 509 N Brightleaf Blvd, Smithfield, NC 27577-4407 — (919) 934-8171

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 2013-01206 (NC)
Surgery Physician Taxonomy 208600000X · Licence 4301089909 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 4301089909 (MI)

Record details

NPI number1407065477
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 22, 2007
Last updated in NPPESAugust 23, 2024
Certification dateAugust 23, 2024

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolUN OF CALIFORNIA, IRVINE, COLLEGE OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice North Carolina Mg Llc — 712 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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