Individual provider Active NPI

Ray H. Dunkelberg, M.D.

  • Internal Medicine Physician
  • Brevard, NC
National Provider Identifier
1013009547
Registry record updated Jun 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20258 Issued in NC
Practice address
377 Gallimore Rd
Brevard, NC 28712-8874
Phone
(828) 884-4846
Fax
(828) 877-5054
NPI assigned
Sep 29, 2006
Last updated
Jun 2, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20258 NC Primary
Internal Medicine Physician 207R00000X 5357 SC

Addresses

Primary practice location

377 Gallimore Rd
Brevard, NC 28712-8874

Mailing address

377 Gallimore Rd
Brevard, NC 28712-8874
Phone (828) 884-4846

Other identifiers 6

IdentifierTypeStateIssuer
080084316OtherNCRAILROAD MEDICARE
04-70392OtherNCUNITED HEALTHCARE
0637660001OtherNCPALMETTO GOVERNMENT SERVI
29416OtherNCBLUE CROSS BLUE SHIELD
561852981DOtherNCCIGNA
8929416MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
20058NCMDPharmacist
20258NCMDInternal Medicine Physician
5357SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of Transylvania PA Past Accepting new patients
Transylvania Community Hospital, Inc. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212364800000",
    "number": "1013009547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377 GALLIMORE RD",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287128874",
            "telephone_number": "828-884-4846",
            "fax_number": "828-877-5054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 GALLIMORE RD",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287128874",
            "telephone_number": "828-884-4846",
            "fax_number": "828-877-5054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNKELBERG",
        "first_name": "RAY",
        "middle_name": "H.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2008-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "20258",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "5357",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080084316",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "04-70392",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GOVERNMENT SERVI",
            "identifier": "0637660001",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "29416",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "561852981D",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8929416",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brevard, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.