Mr Gordon Kennedy Middleton Jr, MD - Pediatrics in Raleigh, NC

Mr Gordon Kennedy Middleton Jr, MD is a Pediatrics physician based in Raleigh, North Carolina. Mr Gordon Kennedy Middleton Jr is licensed to practice in North Carolina (license number 10174) and his current practice location is 1321 Oberlin Rd, A, Raleigh, North Carolina. He can be reached at his office (for appointments etc.) via phone at (919) 828-4747.

NPI number for Mr Gordon Kennedy Middleton Jr is 1194798223 and his current mailing address is 1321 Oberlin Rd, A, Raleigh, North Carolina. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1194798223.

Contact Information

Mr Gordon Kennedy Middleton Jr, MD
1321 Oberlin Rd, A,
Raleigh, NC 27608-2052
(919) 828-4747
(919) 828-6765

Map and Direction




Physician's Profile

Full NameMr Gordon Kennedy Middleton Jr
GenderMale
SpecialityPediatrics
Location1321 Oberlin Rd, Raleigh, North Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1194798223
  • Provider Enumeration Date: 02/09/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr Gordon Kennedy Middleton Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194798223NPI-NPPES
8958793MedicaidNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 10174 (North Carolina)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Gordon Kennedy Middleton Jr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Gordon Kennedy Middleton Jr, MD
1321 Oberlin Rd, A,
Raleigh, NC 27608-2052

Ph: (919) 828-4747
Mr Gordon Kennedy Middleton Jr, MD
1321 Oberlin Rd, A,
Raleigh, NC 27608-2052

Ph: (919) 828-4747

Reviews and Comments


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