Active NPI
William Craven, MD
- Internal Medicine Physician
- Wilson, NC
National Provider Identifier
1174535082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 38597
- Practice address
- 4761 Ward Blvd
Wilson, NC 27893-4359 - Phone
- (252) 399-2112
- Fax
- (252) 399-2138
- NPI assigned
- Aug 12, 2006
- Last updated
- Aug 9, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 | 38597 | NC | Primary |
| Neurology Physician | 2084N0400X | 38597 | NC |
Addresses
Primary practice location
4761 Ward Blvd
Wilson, NC 27893-4359
Mailing address
4761 Ward Blvd
Wilson, NC 27893-4359
Phone (252) 399-2112
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25321 | Other | NC | BLUE CROSS |
| 8925321 | 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": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565308800000",
"number": "1174535082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4761 WARD BLVD",
"city": "WILSON",
"state": "NC",
"postal_code": "278934359",
"telephone_number": "252-399-2112",
"fax_number": "252-399-2138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4761 WARD BLVD",
"city": "WILSON",
"state": "NC",
"postal_code": "278934359",
"telephone_number": "252-399-2112",
"fax_number": "252-399-2138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAVEN",
"first_name": "WILLIAM",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-12",
"last_updated": "2019-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "38597",
"primary": true
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NC",
"license": "38597",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "25321",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8925321",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilson, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.