Healthcare Provider Details

I. General information

NPI: 1053677286
Provider Name (Legal Business Name): REID CAMERON CHAMBERLAIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/02/2012
Last Update Date: 03/05/2025
Certification Date: 03/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

DUKE UNIVERSITY MEDICAL CTR BOX 3951
DURHAM NC
27710-0001
US

IV. Provider business mailing address

DUKE UNIVERSITY MEDICAL CTR BOX 3951
DURHAM NC
27710-0001
US

V. Phone/Fax

Practice location:
  • Phone: 919-684-3491
  • Fax: 919-684-8464
Mailing address:
  • Phone: 919-684-3491
  • Fax: 919-684-8464

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License Number2015-00569
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: