Provider Demographics
NPI:1417007592
Name:ABELS, BYRON CLIFFORD JR (MD)
Entity Type:Individual
Prefix:
First Name:BYRON
Middle Name:CLIFFORD
Last Name:ABELS
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2501 WESTON PARKWAY
Mailing Address - Street 2:SUITE 201
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513
Mailing Address - Country:US
Mailing Address - Phone:919-677-9729
Mailing Address - Fax:919-677-9721
Practice Address - Street 1:2501 WESTON PKWY
Practice Address - Street 2:SUITE 201
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-5598
Practice Address - Country:US
Practice Address - Phone:919-677-9729
Practice Address - Fax:919-677-9721
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2020-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9500490208600000X, 2086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC10094OtherBCBSNC
NCP00262292OtherMEDICARE RR
NC89128GNMedicaid
NCP00262292OtherMEDICARE RR
NC10094OtherBCBSNC