Healthcare Provider Details

I. General information

NPI: 1891324331
Provider Name (Legal Business Name): JOHN DANIEL BIRELEY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/06/2020
Last Update Date: 08/21/2025
Certification Date: 08/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 DUKE HEALTH CARY PL STE 420
CARY NC
27519-6759
US

IV. Provider business mailing address

100 DUKE HEALTH CARY PL STE 420
CARY NC
27519-6759
US

V. Phone/Fax

Practice location:
  • Phone: 919-385-8321
  • Fax: 919-385-9786
Mailing address:
  • Phone: 919-385-8321
  • Fax: 919-385-9786

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084N0008X
TaxonomyNeuromuscular Medicine (Psychiatry & Neurology) Physician
License Number2024-01079
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number2024-01079
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: