Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Pediatric Urology of North Carolina

Organization Pediatric Urology Physician · NPI 1780601120

Pediatric Urology of North Carolina provides Pediatric Urology Physician services in Raleigh, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006

Practice location Address checks out

2406 Blue Ridge Rd Ste 190
Raleigh, NC 27607-6678 Not confirmed with CMS for 18 years — call before visiting
Phone: (919) 785-1888
Show map & directions

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

Specialties & licences

Pediatric Urology Physician (primary) Taxonomy 2088P0231X · Licence 9500849 (NC)

Record details

NPI number1780601120
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Timothy Bukowski — President · (919) 785-1888
NPI enumeratedJuly 15, 2006
Last updated in NPPESFebruary 4, 2008
Mailing address2406 Blue Ridge Rd, Suite 190, Raleigh, NC 27607-6678