Active NPI
June P Vanbruggen, MD
- Psychiatry Physician
- Durham, NC
National Provider Identifier
1013080779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 16964
- Practice address
- 3239 Winfield Dr
Durham, NC 27707-2421 - Phone
- (919) 489-2617
- Fax
- (919) 489-7037
- NPI assigned
- Nov 17, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 16964 | NC | Primary |
Addresses
Primary practice location
3239 Winfield Dr
Durham, NC 27707-2421
Mailing address
3239 Winfield Dr
Durham, NC 27707-2421
Phone (919) 489-2617
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8984666 | 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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013080779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3239 WINFIELD DR",
"city": "DURHAM",
"state": "NC",
"postal_code": "277072421",
"telephone_number": "919-489-2617",
"fax_number": "919-489-7037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3239 WINFIELD DR",
"city": "DURHAM",
"state": "NC",
"postal_code": "277072421",
"telephone_number": "919-489-2617",
"fax_number": "919-489-7037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANBRUGGEN",
"first_name": "JUNE",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": "16964",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8984666",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.