MEDICARE: DAVID R. DURALIA M.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	200200679	NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	2335809	OTHER	NC	MEDICARE GROUP
8	2342928	OTHER	NC	MEDICARE GROUP

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0238G	OTHER	NC	BCBS GROUP
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	132M9	OTHER	NC	BCBS
5	132M9	OTHER	NC	BCBS INDIV
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	0238G	OTHER	NC	BCBS GR

General Provider Information

NPI Number	:	1972549301
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID R. DURALIA M.D

Provider Business Mailing Address
First Line	:	2874 NC HWY 127 S
Second Line	:
City	:	HICKORY
State	:	NC
Zip	:	28602-9130
Country	:	US
Telephone Number	:	828-294-4100
Fax Number	:	800-951-8614

Provider Business Practice Location Address
First Line	:	2874 NC HWY 127 S
Second Line	:
City	:	HICKORY
State	:	NC
Zip	:	28602-9130
Country	:	US
Telephone Number	:	828-294-4100
Fax Number	:	800-951-8614

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2006
Last Update Date	:	08/19/2025

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Directions to “ DAVID R. DURALIA M.D” Practice Location

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