OrganizationActive
Wakemed Specialists Group LLC
NPI 1184202830 · Pediatric Urology Physician · Raleigh, NC
Provider details
- NPI number
- 1184202830
- Entity type
- Organization
- Primary specialty
- Pediatric Urology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shondra Brink, Vp Wpp Operations(919) 350-6045
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Urology Physician208800000X
Allopathic & Osteopathic Physicians
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3024 New Bern Ave
Raleigh, NC 27610-1247
Phone: (919) 350-7251
Fax: (919) 350-1606
Street-level locationGet directions
Mailing address
Po Box 603949
Charlotte, NC 28260-3949
Other names (DBA / former)
- Doing business as
- Wakemed Children'S Pediatric Urology
Registry dates
- Enumerated
- 2021-04-01
- Last updated
- 2021-04-01
- Certified
- 2021-03-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.