Basic Information
Provider Information
NPI: 1275849143
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BJURLIN
FirstName: MARC
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: DO
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1704 CURTIS RD
Address2:  
City: CHAPEL HILL
State: NC
PostalCode: 275147619
CountryCode: US
TelephoneNumber: 3125931355
FaxNumber:  
Practice Location
Address1: 2108 PHYSICIANS OFFICE BUILDING
Address2:  
City: CHAPEL HILL
State: NC
PostalCode: 275993723
CountryCode: US
TelephoneNumber: 9199662574
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/29/2010
LastUpdateDate: 04/01/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/01/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208800000X125.051663ILN Allopathic & Osteopathic PhysiciansUrology 
2088P0231X125.051663ILN Allopathic & Osteopathic PhysiciansUrologyPediatric Urology
208800000X201802346NCY Allopathic & Osteopathic PhysiciansUrology 

No ID Information.


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