Creedmoor Centre Medical Associates, PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

29127 Issued in NC

Legal business name

CREEDMOOR CENTRE MEDICAL ASSOCIATES, PA

Practice address

8311 Bandford Way
Suite 007
Raleigh, NC 27615-2756

Phone

(919) 390-0400

Fax

(919) 390-0401

NPI assigned

Dec 3, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Robert Craig Juer, M.D.

Title

President

Phone

(919) 383-9286

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1165104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194893487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8311 BANDFORD WAY",
            "address_2": "SUITE 007",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276152756",
            "telephone_number": "919-390-0400",
            "fax_number": "919-390-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8311 BANDFORD WAY",
            "address_2": "SUITE 007",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276152756",
            "telephone_number": "919-390-0400",
            "fax_number": "919-390-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREEDMOOR CENTRE MEDICAL ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JUER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-383-9286",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NC",
            "license": "29127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trey Braxton Creech, MD
• Brittina Griffin Creecy, NBCT, LPC
• Adam Creed, LMFTA
• Courtney Creed, LCMHCA
• Creedmoor Centre Endocrinology PA
• Creedmoor Chiropractic
• Diane Parker Creekmore, RPH
• Marsha Lynn Creekmore, MED.
• Sarah Creekmore, PTA
• Erin Lan Creel

• Primary Care Clinic/Center in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Primary Care Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.