Individual provider Active NPI

Brian Scott Sprayberry, D.M.D., M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Auburn, AL
National Provider Identifier
1114097268
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
4816 Issued in AL
Practice address
773 N Dean Rd
Auburn, AL 36830-4027
Phone
(334) 821-5031
Fax
(334) 821-7037
NPI assigned
Nov 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 4816 AL Primary

Addresses

Primary practice location

773 N Dean Rd
Auburn, AL 36830-4027

Mailing address

773 N Dean Rd
Auburn, AL 36830-4027
Phone (334) 821-5031

Other identifiers 1

IdentifierTypeStateIssuer
4816OtherALAL STAGE LICENSE

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
Master of Science

State licenses

LicenseStateTypeSpecialty
4816ALMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114097268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "773 N DEAN RD",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368304027",
            "telephone_number": "334-821-5031",
            "fax_number": "334-821-7037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "773 N DEAN RD",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368304027",
            "telephone_number": "334-821-5031",
            "fax_number": "334-821-7037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRAYBERRY",
        "first_name": "BRIAN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.M.D., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AL",
            "license": "4816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AL STAGE LICENSE",
            "identifier": "4816",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, AL

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.

Verify at the official NPI Registry.