Active NPI
Ray H. Dunkelberg, M.D.
- Internal Medicine Physician
- Brevard, NC
National Provider Identifier
1013009547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 20258
- 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, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080084316 | Other | NC | RAILROAD MEDICARE |
| 04-70392 | Other | NC | UNITED HEALTHCARE |
| 0637660001 | Other | NC | PALMETTO GOVERNMENT SERVI |
| 29416 | Other | NC | BLUE CROSS BLUE SHIELD |
| 561852981D | Other | NC | CIGNA |
| 8929416 | Medicaid | NC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 20058 | NC | MD | Pharmacist |
| 20258 | NC | MD | Internal Medicine Physician |
| 5357 | SC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Family Medicine Physician
- Brevard, NC
- NPI 1790877306
-
- Rural Health Clinic/Center
- Clyde, NC
- NPI 1972988160
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.