Provider Demographics
NPI:1275849143
Name:BJURLIN, MARC (DO)
Entity Type:Individual
Prefix:DR
First Name:MARC
Middle Name:
Last Name:BJURLIN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1704 CURTIS RD
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-7619
Mailing Address - Country:US
Mailing Address - Phone:312-593-1355
Mailing Address - Fax:
Practice Address - Street 1:2108 PHYSICIANS OFFICE BUILDING
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-3723
Practice Address - Country:US
Practice Address - Phone:919-966-2574
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-29
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125.051663208800000X, 2088P0231X
NC201802346208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
No2088P0231XAllopathic & Osteopathic PhysiciansUrologyPediatric Urology