Healthcare Provider Details

I. General information

NPI: 1992141006
Provider Name (Legal Business Name): WILLIAM A REARICK JR. MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/15/2013
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 MANNING DRIVE CB 7085
CHAPEL HILL NC
27599-7085
US

IV. Provider business mailing address

101 MANNING DRIVE CB 7085
CHAPEL HILL NC
27599-7085
US

V. Phone/Fax

Practice location:
  • Phone: 984-974-1931
  • Fax: 984-974-2216
Mailing address:
  • Phone: 984-974-1931
  • Fax: 984-974-2216

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number2017-01209
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number2017-01209
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number2017-01209
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: