Healthcare Provider Details

I. General information

NPI: 1831726413
Provider Name (Legal Business Name): HEATHER HAEBERLE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2020
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 DUKE MEDICINE CIRCLE CLINIC 1H
DURHAM NC
27710
US

IV. Provider business mailing address

DUMC 104002 IPE
DURHAM NC
27710
US

V. Phone/Fax

Practice location:
  • Phone: 919-613-7797
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License Number2026-03177
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: