Individual provider Active NPI

Karl Brandspigel, MD

  • Nephrology Physician
  • Elizabeth City, NC
National Provider Identifier
1104810498
Registry record updated Oct 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
22680 Issued in NC
Practice address
206 Hastings LN
Elizabeth City, NC 27909-3324
Phone
(252) 335-1083
Fax
(252) 335-4030
NPI assigned
Sep 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 22680 NC Primary

Addresses

Primary practice location

206 Hastings LN
Elizabeth City, NC 27909-3324

Mailing address

206 Hastings LN
Elizabeth City, NC 27909-3324
Phone (252) 335-1083

Other identifiers 3

IdentifierTypeStateIssuer
17852OtherNCBLUE CROSS BLUE SHIELD
P00391180OtherNCRAILROAD MEDICARE
8917852MedicaidNC

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

State licenses

LicenseStateTypeSpecialty
22680NCMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Albemarle Nephrology Assoc Nephrology PastSince Jul 1, 1991 Accepting new patients
Dva Healthcare Renal Care Inc PastSince Jan 4, 2022 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193270400000",
    "number": "1104810498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 HASTINGS LN",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279093324",
            "telephone_number": "252-335-1083",
            "fax_number": "252-335-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 HASTINGS LN",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279093324",
            "telephone_number": "252-335-1083",
            "fax_number": "252-335-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDSPIGEL",
        "first_name": "KARL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-01",
        "last_updated": "2007-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NC",
            "license": "22680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "17852",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00391180",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8917852",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.

Verify at the official NPI Registry.