R. Joseph Crill MD PA

Primary specialty

Integrative Medicine PhysicianTaxonomy code 202D00000X

Legal business name

R. JOSEPH CRILL MD PA

Doing business as

Vibrant Medical Wellness

Practice address

9104 Shorewood PL
Belmont, NC 28012-7635

Phone

(313) 333-8897

NPI assigned

Nov 14, 2024

Last updated

Nov 14, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

R. JOSEPH CRILL MD PAAs reported in NPPES

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

Authorized official

Name

Dr. Richard Joseph Crill, MDNPI 1033259361

Title

Owner

Phone

(313) 333-8897

Specialties & licenses 1

Addresses

Other names 1

• Vibrant Medical Wellness Doing business as

Part of

R Joseph Crill MD PA

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard Crill, MD

  • Emergency Medicine Physician
  • Port Huron, MI
  • NPI 1033259361
  NPD Authorized official

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

{
    "created_epoch": "1731542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1245054311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9104 SHOREWOOD PL",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280127635",
            "telephone_number": "313-333-8897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9104 SHOREWOOD PL",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280127635",
            "telephone_number": "313-333-8897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R. JOSEPH CRILL MD PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "R. JOSEPH CRILL MD PA",
        "enumeration_date": "2024-11-14",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "CRILL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-333-8897",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "202D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Integrative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vibrant Medical Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lauren Casat Price, FNP
• Proaxis Therapy NC, LLC (ATI Physical Therapy)
• Logan Daryl Proffitt, DO
• Psalm 91-11 LLC (Visiting Angels)
• R. Cohen and G. Abrams, PC
• R.C. Aizcorbe MD PA
• Coty Rajek, DPT
• Rayni Enterprises
• Alissa Ann Reitz, MSW, LCSW
• Justin Alexander Rennard, MD

• Integrative Medicine Physician in Belmont, NC
• Providers in Belmont, NC by specialty
• Integrative Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.