Active NPI
Karl Brandspigel, MD
- Nephrology Physician
- Elizabeth City, NC
National Provider Identifier
1104810498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 22680
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17852 | Other | NC | BLUE CROSS BLUE SHIELD |
| P00391180 | Other | NC | RAILROAD MEDICARE |
| 8917852 | 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22680 | NC | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albemarle Nephrology Assoc | Nephrology | Past | Accepting new patients |
| Dva Healthcare Renal Care 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 and National Provider Directory roles.
-
- Nephrology Physician
- Elizabeth City, NC
- NPI 1669467767
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Morton, PA
- NPI 1619939311
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.