Healthcare Provider Details

I. General information

NPI: 1093391047
Provider Name (Legal Business Name): KENDALL MICHELLE HARRIS BIELAK MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2021
Last Update Date: 10/01/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 MANNING DR
CHAPEL HILL NC
27514-4220
US

IV. Provider business mailing address

7920 ACC BLVD
RALEIGH NC
27617-8743
US

V. Phone/Fax

Practice location:
  • Phone: 919-966-7890
  • Fax: 919-966-9533
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number00935
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: